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PUBLIC V,�ORKS PERMIT Date: 9/2/2009 <br /> City of Everett Public Works Department PubliC Works Pefmit #: PW0909-002 <br /> "� �•, ; �,�- 3200 Cedar Street Buildinq Permit #; C0908-027 <br /> EverettF'�YA 98201 G`�-D."v-��i9(IdED) 15:�y�ninp Reference #: <br /> (425�25�8810 �'EL-1 G'4J�c I <br /> GTP�lblic Works Fee $: S 25.00 <br /> FEi;'riii f�o.0'?u8027 Other �: <br /> OWNER NAME AND ADDRESS: 1 PiC AFPLIFA'r1T�lAME AND ADDRESS: <br /> CLEATOR S & MORENO S 1 nLDG. y`i'ib.75 <br /> 1717 FULTON AVE 1 I�i�CH 5h1.0U <br /> EVERETT 1 rLRG $j�i,� <br /> wA sa2o� 1 DRIVE g�;.up <br /> PHONE: 4252805705 1 5 � PHONEI�4•� <br /> TAX PARCEL ID p 00438935700900 ^HEC�; SITE�JF�SS: 1717 FULTON ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION FOR MASTER BEDROOM <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current Cily of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect all rooftop downspouts to the side sewer. <br /> 5. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning Ls� <br /> the project. Ca�l Randy on his cell phone at 425-339-7403. [� <br /> 6. All excavated material irom foundation, sidewalk and driveways shall be hauled to an approved, permitted site. """ <br /> No wasting of material is allowed on this building lot. � <br /> 7. No dirt, mud. rocks or debris to be tracked onto roadway. Qa <br /> � <br /> TO F�STING_=IL�J__ p <br /> � <br /> O <br /> a� <br /> ACKNOWLEDGEMENT 0�CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett fwm any and all claims for <br /> damages.cosls, expenses,or causes of action tt�at may arise <br /> c �� ��Oa Q because o�f installa�n and main�Pnnance of lhe improvement <br /> r/' or o�her ri ht•of-wa use hereto a lied for and further agrees <br /> A pr ed f ConslruCti444nnn,,, Date to remove same upon notice from ihe City and to replace <br /> �i�� public property�iamaged thereby. <br /> c�.�r� �CC �-- S'Zl—� � � <br /> INAL INSPEC N Date � '`O <br /> Approved as Constructed Signature of Ap �i t Date <br /> 1VORK AUTHORIZEU BY'THIS PERPIIT P1U5T BE S7ART[D 1VITH�N 180 DAYS OF DAT[PLRNII�IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO C061PLEiION. THIS PEF��IIT h1AY 13E CANC[LLEU BY THE CITY UPON ANY STOPPAGE OF K'ORK ON THIS PROJECT OVER 90 DAY'�DURATION. <br />