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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: DANIELSON KURT ANDADDRESS: <br />3413 FEDERAL AVE <br />EVErETT VA 98:_IJ <br />PHONE: PHONE: <br />TAX PARCEL I.D.# 00437582902700 PROJECTADDRESS: '416 FEDERAL AVE <br />DESCRIPTI <br />PROPOSED WORK: ADDITION TO ROUSE <br />PERMIT CONDITIONS <br />3/19/2008 <br />PWO803-014 <br />C0803-00 <br />$0.00 <br />S. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424.5555 <br />4. May need to update aide aew-r pipe under addition <br />5. Connect all rooftop downspouts to the side sewer. <br />5. Install erasion control measures as determined by the Public Works inspecgr,CEItG h <br />as silt fence, straw bales, swales, or erosion blankets. <br />7. No dirt, mud, rocks or debris to be tracked onto roadwa}� <br />8. No building materials to be stacked on roadway and roal ay�to-;be*att7eali»�and <br />open for pedestrian travel. <br />c� <br />G <br />FOR POBLIC WORKS INSPECTION, CALL RANDY AT 425-339-7403 "4 cjs I <br />TO POSTING-3 zz <br />,rO,I <br />��I�fr[�Opp-1 p0p p0p�� <br />�V'00�60�t� <br />m <br />r <br />N <br />A <br />-�IOCFJI <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. - o p �j <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLE, ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />DATABAR. INC. <br />