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PUBLIC WORKS PERMIT Date: 8/11/2010 <br /> Public Works Permit#: PW1008-016 <br /> "� City of Everett Public,Works Dep�,�t ,er� <br /> 3200 C , Street � �'�10(T�l> 09nn:3���pp'' Buildinp Permit#; C1008-006 <br /> � � Everett,�/ �98201 �E�-1 ��ninq Reference#: <br /> (425) 257-8610 <br /> Pih;MI' tia.lOQ8��0� Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: 1 S C APPLIC�pI.�INAME AND ADDRESS: <br /> NURKIN LLC � ME� 3�0.00 <br /> 1 F'LRG �1�0.(10 <br /> 18128 61 ST AVE NW 1 URI� 5�5.00 <br /> STANWOOD WA 98092 b 100900� <br /> 1 5� PHONEl70.00 <br /> PHONE: 4254226469 r� <br /> TAX PARCEL ID# 28050800200500 1 4�RTEF SIT��q�1�SS: 2502 COLUMBIA AVE <br /> I. . .�`.,:J- - <br /> DESCRIPTION OF PROPOSED WORK: L;f�GK �5eb���.b.�1 <br /> NEW HOUSE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Constniction Standards <br /> and Specifications. <br /> 3. Cali Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. w <br /> 5. The contractor must meet with the Public Works Inspeclor(Call Cliff Lindman at 425339-7404) to discuss � <br /> potential drainage routing prior to beginning the project. i..� <br /> 6. Instail erosion control measures per City of Everett Standards for small parcels � <br /> 7. AII excavated material from foundation, sidewaik and driveways shall be hauled to an approved, permitted site. � <br /> No wasting of material is allowed on this building lot. O <br /> 8. No dirt, mud, rocks or debris to be tracRed onto roadway. <br /> 9. No building materials to be stacked on sidewalklroadway and sidewalk/roadway to be kept clean and open for h <br /> pedestrian traveL Z <br /> 10. Pave driveway from the front property line out lo the street paving. Q <br /> � <br /> TO POSTING � "y " �z ° <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicanl hereby agrees lo hold and <br /> save harmless the City of Everetl from any and all claims for <br /> damages, costs,expenses,or causes of action Ihat may arise <br /> , /���/ because of instal�alion and maintenance of lhe improvement <br /> // �_/7_�� or other right•ot•way use hereto applied for and turiher agrees <br /> �-'ll•� to remove same upon nolice trom the Cily and to replace <br /> ApprU(�ed for Construction Date public property damaged lhereby. <br /> 1`�/ � /�� � � ��_.�-- �/�`�C/ <br /> INSPECTION Date z� / <br /> Approved as Constructed s�� '-�� Signature o(Applicant Date <br /> WORK AUTHORIZED BY THIS PERMif MUST 8�:SI'ARTED WIT}itN I80 DAYS OF DATE PERMIT IS ISSUED AND iNEREAFfER IS TO BE DIUGENTLY <br /> PURSUFD TO COMPLEfION. THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO7ECT OVER 90 DAYS DURATION. <br />