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J � <br /> PUBLIC WORKS PERMIT Date: 9/26/2013 <br /> Public Works Permit#: PW1309-024 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinp Permit #; C1309-010 <br /> ��?��`�� Everett, WA 98201 <br /> (425)257-8810 Planninq Re(erence#: <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME ANU ADDRESS: APPLICANT NAME AND AODRESS: <br /> MUSTACHE LAND DEVELOPM[NT <br /> PO BOX 12176 <br /> BOTHELL WA 98082 <br /> PHONE: 42E�2440549 PHONE: <br /> TAX PARCEL ID li 00377346003000 SITE ADDRESS: 2202 CLEVELAND AVE <br /> DESCRIPTIL�N OF PROPOSED WORK: <br /> PUBLIC WORKS FOR SINGLE FAMILY DWELIING <br /> PERMIT CONDITIONS <br /> 1 All calls for mspeclion shall be made 24 hours in advance <br /> 2. All work shall be performed in accordance with the permit and current City o(Everetl Design and Construclion Standards <br /> and Specifications. <br /> 3. Ca0 Localion Underground Service 4Fl hrs before you dig TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Slandard#'s 601, 602, 604. <br /> 5. The coniractor must meet with the Public Works Inspector to discuss potential dramage routing prior to � � , <br /> beginning Ihe project Call Randy Alien al 425-339•7403 U Call Cliif Lindmtm�at M45•33�740?��"�'"" � x1 W <br /> 6. Install erosion control measures as determined by the Public Worl�j i�B�c�t�nc AM te�e��ra�baleg � H <br /> swales, orerosionblankets. � �� � "���" � � <br /> 7. No dirt, mud, rocks or debris to be Iracked onto roadway. � �_ � � <br /> 8. No building materials to bc stacked on sidewalk/roadway and sidewalk/roadway lo be keH' :lean and open �3j , � <br /> pedesirian travel. � �' �' � � <br /> 9 Pave to existing pa�ing m alley ��� " � � <br /> «. �7 ,., 0 <br /> :"O�.��een�,� en <br /> ',= ;= <br /> O/�,C�G����',OC�l�GiC�",i��IQ-+ � <br /> �:1GI�,�€�r����S£��i� �, ' Cn <br /> ��.� '� <br /> �� a <br /> ACKNOWLEDGEMkNT Of CONDITIONS <br /> The undcrsigncd owner/appticanl hereby agrces lo hold and <br /> savc harmless the Gty ol t:vcretl lrom any and all claims for <br /> damages,cosls,expenses, or causes of aclion that may arise <br /> .'— . i 6ecause of Installahon and mainlenance ol the improvement <br /> �� �— / 3�,��3 or other ngh4ol-way use hereto applied lor and lurfhcr agrecs <br /> A roved 0�ConS�ruc�i0n Da�e �o remove same upon nolice Iwrn Ihe Cily and b replace <br /> PP pubGc properry damaged Ihereby. <br /> c�,� 4u��,e�l � - 6 - r4- _ <br /> FINAL INSP[CTION �ate �D � <br /> Approved as Constructed si aiure of Applicant Da�e <br /> WORK AUTHORIZED BY THIS PERMIT MUST RF STARTF.D WIT}11N I80 DAYS OF DATF.PERMIT IS ISSUED AND THFRFAFfFR 6 TO BF DILI,ENRY I <br /> PURSUtD TO COMPI.RION. 1HI5 PEHMII MAY BE CANCELLEU BY IHF CI1V UPON ANY S10PPAG[OF WORN ON iHl5 PROJEC7 OVFR 90 UAYS DURAiION <br /> Qw <br />