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; <br /> PUBLIC WOItKS PERMIT Date: 4/6/2010 � <br /> ,r Public Works Permit#: PW1004-007 <br /> City of Evereri Public Works Department <br /> - �. ��;�� 3200 Cedar Street Buildinp Permit#; 81004-006 <br /> Everett, WA 98201 Planninq Reference#: <br /> (425)257-881D <br /> Public Works Fee S: 5 45.00 <br /> Other S: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PETERSEN GARY 8 EILEEN <br /> 2527 79TH SE <br /> EVERETT WA 98205 <br /> PHONE: PHONE: <br /> TAXPARCELID# 00437392600100 SITEADDRESS: 3701 BROADWAYA86 <br /> DESCRIPTION OF PROPOSED WORK: <br /> INSTALL SIDEWALK TO 37TH IN <br /> CONJUCTION W/OFFICE CONVERSION FROM HOUSE&GAP.AGE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Fverett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> 4. The contractor must meet with ihe Public Works Inspector (cail Randy Allen at 425-339-7403)to discuss W <br /> polential drainage routing prior to beginning the project <br /> 5. Install erosion control measures as determined by the Pubiic Works inspector, such as silt fence, straw bales;; ��j � E"'� <br /> swaies, or erosion blankets. ' � ' � ' `� _-°; '� , � <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway � : , " "' �_ �: <br /> 7. No building materia�s to be stacked on sidewaik and sidewalk to be kept clean an�l,op2n �Or petlesfnan{Pavet.', O <br /> 8. Remove and replace curb, gutter and sidewaik as per City of Everett Standard PIAn#'s 305.A 8 306 on tltis �� <br /> proposai's frontage as directed by the Fublic Works Inspector (i.e. all unused driveways and any broken or „ h <br /> damaged area must be repiaced). ' _' � , Z <br /> 9. Frontage improvement work to be done as shown on approved site plan ` ` ; O <br /> , � �-, �--� � V� <br /> ., _ .,.. 0 <br /> 1: � 3 1 � <br /> - r� I t. . 1 y'l <br /> _��� �_ _. 1 _��n T _ � � <br /> �_ ( <br /> ACKNOWL[DGEMENT OF CONDITIONS <br /> The undersigned owner/applicaM hereby agrees lo hold and <br /> save harmless the City uf Everett from any and all claims for <br /> damages,costs,expenses, or causes of action thal may arise <br /> j � � because of installation and maintenance of Ihe improvement <br /> � �� � �, ��� tf.��;�(} or other righl-o(-way-u�herelo applied for and furiher agrees <br /> Appro d r Const�uct`J Date to removq same upon notice from lhe City and io replace <br /> ^ public p�iperty damage�thereby. <br /> �,� � j z`7-/o � �C �l� � �-22 /? <br /> F AL INSPE ON Date e��sZ� ��Ey-c � <br /> Approved as onstructed Signature o P li� cant Da1e <br /> INORK AUTHORIZED BY THIS PFRFIIT t4U5T E3[SThP,T!'D 1VIl HIN 160 DAYS Of-DAI�[PERh1IT IS ISSUED AND THERfAFfER IS TO BC DILIGENTLY <br /> PURSUED TO COMPLE170N. i}i15 P[Rh111�9AY 13[UWCEILED UY THE CITY UPO�J A��Y S70PPAGE OF IVORK ON THIS PROJECT OVER 90 DAYS DURAT10tJ. <br />