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PUBLIC WORKS PERMIT Date 4/1/2014 <br /> Public Works F�rmit #: PW1404-002 <br /> '° City of Everett Public Works Department <br /> �`�r+��_.,-,��_ <br /> 3200 Cedar Street Building Permit #; C140?-007 <br /> ;_,,_� i5=�`r Everett. WA 98201 Planning Reference #: <br /> (425) 257-A810 <br /> Public Works Fee 5: S 206.01 <br /> Other S. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NCiUYEN MINH THI TNU <br /> 9205 4TH AVE W <br /> EVERETT WA 98204 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 004 39074 101 300 SITE ADDRESS: 3128 BROADWAY UNIT A,B,C <br /> DESCRIPTION OF PROPOSED WORK: <br /> PW FOR NEW TOWNHOUSE <br /> C1403•007 UNIT A, C1403-008 UNIT B, C140?-009 UNIT C ON SAME SET OF F�ANS <br /> PERiVIIT CONDITIONS <br /> t. All calis for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordance vedh the permit and current City of Everett Design and Constr�cuon Star.dards II <br /> and Specif�wtions. I <br /> 3 Call LocaUon Underground Service 48 hrs be(ore you dig. TOLL FREE NUMBER 811 <br /> 4 Per approved plan dated 3/3ll2014. : <br /> 5. Connect side sewer per City Slandard#'s 601, 602,604 � � ' <br /> 6. I�stall erosion control measures as determined by the Public Works inspector, such as silt fence; straw bales,; F <br /> swales, or erosion blankels. �.��" -. _ _ - �..� <br /> 7. No d�rt mud, rocks or debris to be tracked onto roadway. �i �::= _'�- �. !/� <br /> 8 No building matenals to be stacked on sidewalk/roadway and sidewalkJroadway to be kept Clean'and�open for. p <br /> pedestrian traveL , _ O <br /> 9 Pave �o existing pavmg in alley. _ ,,,� <br /> Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any queslions and/or inspeclions � <br /> ' ' : Q <br /> ', '=, � <br /> ,_�i� , "' . (/1 <br /> � , `�I y� I 1 -�- � -,��: � O <br /> ��-, �S1�IN�� . .--��,=uLL`I a, <br /> ;� . - <br /> Y� �'�STING � - 30-�5 <br /> ACKNOWLEDGE64ENT OF CONDITIONS <br /> The undersigned cwnerlapplicant hereby agrees to hold antl <br /> save harmless ihe City of EvereQ from any antl all claims for <br /> � damaq=s, costs,expenses, or causes of actron that may anse <br /> � � because.of inslallation and maintenance of the improvement <br /> ��� or other right-of-way use hereto applied lor and further agrees <br /> � to remove same upon notice from the City and to replace <br /> Appro C s ruCti Date public pr perty damaged thereby. . <br /> — 3 � I�- 1 -rl -.��,�- <br /> FINAL INSPEC N Date � r <br /> Approved as Constructed �gnature ol Applicant Date <br /> \VORK AUTHORI2ED�Y THIS PERId17 MUST BE STARTED WiTHIN I60 DAYS OF DATE PERMR IS ISSUED AND TH[REAFTER IS TO BE DILIGENTLY <br /> PURSUED 10 COP1PLEl10N. THIS PERP1iT MAY BE CANCELLEO BY TNE CITY UPON ANY STOPPAGE OF 1NORK ON THIS PRO]ECT OVER 90 DAYS DURAT70N. <br /> I��) <br />