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s� <br />� F F T <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works DepaAment <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />Date: <br />Public Works Permit #: <br />8/12/2010 <br />PW 1008-021 <br />Buildinp Permit #; C1007-012. <br />Planninp Reference #: <br />it� • <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />MACDOUGALL ROGER S 8 <br />��4�EEY DR <br />EVERETT WA 98208 <br />PHONE: PNONE: <br />TAX PARCEL ID N 28051700303200 SITE ADDRESS: 2012 BURLEY DR <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION <br />FOR GREA7 ROOM & WORK OUT ROOM <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 ot Everett Design and Construction Standards <br />and Speciiications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 871 � <br />4. Connect rooRop downspouts to the drainage system prov;ded for this lot. <br />5. Install erosion control measures per City of Everett Standards for small parcels � <br />6, No dirt, mud, rocks or debrls to be trecked onto roadway. '�"- �'"� � �� <br />7. No building materiats to be stacked on sidewalklroadway and sidewalk/roadway to be kep�pe��;op9n�for; <br />� <br />pedestrian travel. �; ,�i � : ' ' � <br />c� <br />� <br />YOUR INSPECTOR IS CLIFF LINDMAN, 425339-7404 � <br />TQ F^vSTIWG � � �� <br />r <br />%%��ct-l��— �'.+'�J • /C% <br />Approv lor Construction Date <br />n _�-� <br />�i �� � � 1—� � -._ <br />F INSPECTION Date <br />Approved as Conshucted I -�'� '-�� <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City o1 Everett (rom any end ell claims lor <br />demages, costs, erpenses, or causes ol action thet may arise <br />because ol instellation and maintenance of the improvement <br />or olher right-oi-way use herelo applied for and turther egrcea <br />to remove same upon nMice Irom the City and to replace <br />p�bli�rop y�ma e ereby. <br />C 7' 2�' ZU�V <br />Signature of Applicenl <br />Date <br />WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WRHIN I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEf10N. THIS PERMIT MAY BE CANCEILED BY TME CIT' UPON ANY STOPPAGE OF WORK ON THIS PItO7ER OVER 90 DAYS DURATION <br />