4522 EVERGREEN WAY 2018-01-02 MF Import

r 9:5a Date: 9/28/2011 PUBUC WORKS ff RMUN j, biiclVDrks Permit* 109-032 �; �t l; 03,3, City of Everett PGb id Works DeFpartrnei t (i J. 3200 Cedar Stfse.'., Buildin �g Permit #; B1109-026 EvereFl!19X9 (9.'�(i~; t Planning Reference#: (425) 25 )810 1 L)h. Xi: -40 Public. Works Fee $: $ 45.00 N _tifiyili7 Other $: OWNER NAME AND ADDRESS: 1 11'AVING APP6154T NAME AND ADDRESS: FREDERICKSON CINDY T(' 3 74,1'° 90 CASH $760.00 4522 EVERGREEN WAY $18.10 EVERETT WA 98203 PHONE: PHONE: ITAX PARCEL ID # 00605502201001 SITE ADDRESS: 4522 EVERGREEN WAY DESCRIPTION OF PROPOSED WORK: REBUILD AFTER FIRE-EVERETT FLORAL PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 8-i1 4. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginningf the project. Call Randy Allen at 425-339-7403 W 5. Install erosion control measures as determined by the Public Works inspector, such as gilt fence, straw bales, swales, or erosion blankets. J 6. Remove erosion control measures upon completion of the project prior to final approval of the permit. 7. No dirt, mud, rocks or debris to be tracked onto roadway. pq 8. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for pedestrian travel. 9. Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan #'s 305A & 306 on this Z proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or O damaged area must be replaced). H ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees 1 to remove same upon notice from the City and to replace Appro r Constr n Da 01 public property dama ed t ereb miniArni r�re�Snnni n�re C / Signal of licant Date ( WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY of 1Da 1Pn Tn rnMD1 c nni Turc DFDMM MAv ac rAhirci i cn av Tuc rrry r rDnM AMV cmonerF: nr: VJnDie nM Turc DDrnFrr nVFD Dn nevc nnaerrnN