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, `� <br />'�R TT <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Dep�aj �m�en <br />3200A�edar Street 1�--1'-���1 �T�� <br />Ever�r�"�'A 98201 �tGl <br />(425� 257-8810 <br />i'tRM.I i1�].1109G05 <br />OWNER NAME AND ADDRESS: <br />HILL ROBERT <br />1315 PACIFIC AVE <br />FVERETT WA 98201 <br />PHONE: <br />fAX PARCEL ID # 29043500400300 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />1 RLDG. <br />i MECH <br />1 F'LHG <br />1 DRIUE <br />1 SC <br />� <br />1L <br />CA"D <br />Date: <br />Public Works Permit #: <br />16:24 Buildinq Permit #; <br />G���nning Reference #: <br />Public Works Fee $: <br />„ ,� Other $: <br />qp�]�C�f NAME AND ADDRESS: <br />S1LO.00 <br />$150.(� <br />5^��.OD <br />g4 FA <br />gfG14J�p'pNt�SS: 4621 DOVER ST <br />� I ?JCJ! �rl�% <br />ro i �J87.T? <br />�?n�_04-028 <br />09/19/2011 <br />PW1109-029 <br />C 1109-005, <br />.� <br />$ 25.00 <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 Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 817 <br />4. Connect side sewer per City Standards 601, 602, 604. <br />5. Connect rooftop downspouts to the drainage system provided for this lot. W <br />6. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning F <br />the project. Randy Allen 425-339-7403 ►� <br />7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. Vj <br />No wasting of material is allowed on this building lot. � <br />S. No dirt, mud, rocks or debris to be tracked onto roadway. O <br />9. No building materials to be stacked un sidewalk/roadway and sidewalk/roadway to be kept clean and opan for � <br />pedestrian travel. z <br />10. Pave driveway from the front property line out to the street paving. O <br />F"� <br />� <br />� <br />a <br />TO POSTING `�� ��'�' � <br />� .� ..aa�- -�20 -// <br />App v d for Consl ti Date <br />— ZS—\z- <br />INAL I:lS CTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applirant hereby agrees to hoid and <br />save harmless the City of Everetl from any and all claims for <br />damages, costs, expenses, or causes oi action that may arise <br />because of installation and mainlenance of the improvement <br />or other right-of-way use hereto 3pplied for and further agrees <br />lo remove same upon notice from the Ciry and to replace <br />public property damaged thereby. <br />2o3F�� �t��c �'ca �o%a�zoir <br />Signalure of Applicant <br />Dale <br />WORK AUTHORIZED BY THIS PERMIT MUSI' BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS TO �E DILIGL"NTLY <br />PURSUED TO COMPLETION. THIS PERMR MAY BE GINCELLED BY TNE CIfY UPON ANY STOPPAGE OF WORK ON THIS PROJECt' OVER 90 DAYS DURATION. <br />