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PUBLIC WORKS PERMIT Date: 5/18/2011 <br /> Public Works ParmR N: PW1105-011 <br /> City of Everett Public Worke Depertment �ulidinp Pertnft#�; C1105-010 <br /> 3200 Cedar Slreet ' I <br /> Everett, WA 98201 Planninp Reference N: ���v <br /> (425)257-8810 <br /> P�u!�o wort�6 Fee a: s zs.00 <br /> ane�s: <br /> OWNER NAME AND ADDRE88: APPLICANT NANIE AND ADDRESS: <br /> KRYKUN ANDREY <br /> 178105TH ST SW NB <br /> EVERETT WA 98204 <br /> PMONE: 4252887159 PHONE: <br /> TAX PARCEI ID N 00393800500505 SITE ADDREBS: 1418 E CASINO RD <br /> OE8CRIPTION OF PRCIPOSED WORK: <br /> NEW HOUSE <br /> PERMIT CONDI fIONS <br /> 1. All calls for inapection shall be made 24 hours in advance. <br /> 2. All work shall be periormed In accordance with the permil and current City of Everetl Design and Construction Standerde <br /> and Specificetlons. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER!11 <br /> 4. Connect side sewer per City Slandard it's 601, 602,804. , � <br /> 5. Connect rooftop downspouts to the dreinage system provided for thfs lot. <br /> 8. Inatall eroslon control measurea per City of Everett Standards for small parcels _ , p,,,i <br /> 7. No diA, mud, rocks or debria to be lrecked onto roadway. ;;���� V� <br /> - ,.� ' � . � <br /> Cell Cliff Lindman at 425-339-7404 for inspection O <br /> � z <br /> � o <br /> �� N <br /> l: N�Mr � <br /> ..LT'•�U l�.J�'F �� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undereipned ownar/epplicant hereby epreee to hold and <br /> eave hermless the City of Everetl hom eny and all claims for <br /> S—/6— // demepee,coele,expenees,or causes of acllon that mey arisa <br /> becauee of inetalletion and malntenance o1 the improvement <br /> ��/�? or olher ripht-of•way uee hereto applied for and fuAher epreee <br /> r����� — � �� to remove same upon notice from the Ciry and lo replace <br /> Approved`or Construction Dafe public propeAy damaped thereby. <br /> G /F'�' �-.--.` �: �j_ S � 1 ��/( <br /> FINAL If� PECTION Date �9� —�— <br /> Approved as Consiructed 9� Z Sipneture ot Applicant Dete <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTEO WITHIN I80 DAYS OF DATE PERMR IS ISSUED AND 7HEFtEAF1ER IS TO BE DIUGENTLY <br /> PURSUED TO COMFLE170N. THIS PERMiT MAY BE GNCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS P(IOIEC�OVEft 90 OAYS DUAATION <br />