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PUBLIC WORKS PERMIT Date: 8/4/2008 l <br /> Public Works Permit#: PW0808-007 <br /> City of Everett Pu i�Works De�"pBrt�AG-n,"t';��'_p) 1_�:p3 guildinq Permit #; C0807-013 <br /> -,,y;,;�,-,, 3200 ��r•Street Ei-1 Ui'+)Jl <br /> '=``` ' "'`� Everett, WA 98201 <br /> fRla�ninp Reference #: <br /> (425)�5��8�1.63iJ ll?l� <br /> Public Works Fee $: $ 25.00 <br /> 1 P�i; 'r18.�J Other $: <br /> , , r,� <br /> �� ';�� AP�LIG�,�dA1T NAME AND ADORESS: <br /> OWNER NAME AND ADORESS: 1 ucL �,i�,�`i <br /> RUBATINO TIM ' ��1-P'' i"0.�'t <br /> 4819 DELAWARE AVE 1 �h'IUt ��`',i'ii <br /> EVERETT WA 98201 1 S�� $1 ,CF,�7 E8� <br /> PHONE: 4252397962 ChELk P���1.85 <br /> TAX PARCEL ID# 00407801900100 SITE ADDRESS: 4819 DELAWARE AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> SECOND STORY ADDITION <br /> PERMIT CONDITIONS <br /> 1. All calls (or 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 Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 —� <br /> 4. The contractor must meet with the Public Works Inspeclor to discuss potential drainage routing prior to beginning <br /> the project. � <br /> 5. Install erosion control measures as determined by the Public Works inspector, such as siit fence, straw bales, � <br /> swales, or erosion blankels. i..i <br /> 6. Remove erosion control measures upon completion of the project prior to f nal approval of the permit. � <br /> 7 All excavated material from foundation, sidewalk 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 tracked onto roadway. <br /> 9. No building materials to be stacked on roadway and roadway to be kept clean and open for pedestrian travel. h <br /> 10. Remove and replace curb, gutter and sidewalk as per City ot Everett Standard Plan#'s 305A& 306 on this z <br /> proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or O <br /> damaged area must be replaced). � <br /> � <br /> FOR PUBLIC WORKS INSPECTION, CALL RANDY ALLEN AT 425-339-7403 4 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to ho�d and <br /> save harmless the Cily of Everelt(rom any and all claims for <br /> � damages, costs, expenses, or causes o(ac!ion that may arise <br /> because o(inslallation and mainlenance of ihe improvemen� <br /> � � , � � � � or olher righbof-way use here�o applied for and turiher agrees <br /> ' � lo remove sa e upon notice from the City and lo replace <br /> pp�v for Constru (ioq Date public erty�iamaged thereby. <br /> / / / , <br /> n�.-1� �r � /L' _EJ : _ , / � <br /> FINAL INSP CTION Date v ����� � '6 �� <br /> Approved as Constructed SignaWre of Applicant Date� <br /> �'JORK AUTHORIZFD OY Tti15 PERh11T�1U5T BE STARTED WITHIN 180 DAYS OF DATE PERNIT IS 155UED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURS��D-�O COP1PLEiION. THIS PERPIIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECi OVER 90 DAYS DURATION. <br />