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PUBLIC WORKS PERMIT Date: 10/5/2010 <br /> Public Works Permit#: PW1010-002 <br /> City oi Everett Public Works Department <br /> �,� 3200 Cedar Street Buildinp Permit#; C1010-OOJ <br /> Everett, WA 98201 planninp Reference#: � <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MATTSON ALVIN D <br /> 6519 ELLIOTT WAY <br /> EVERETT WA 98203 <br /> PHONE: 2069736193 PHONE: <br /> TAX PARCEL ID# 00392901101200 SITE ADDRESS: 6519 ELLIOTT WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION TO HOME 8 GARAGE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. Ail 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 Inspector(CALL RANDY ALLEN AT 425339-7403) lo discuss w <br /> potential drainage routing prior to beginning the project. � <br /> 5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. ~ <br /> 6. Remove erosion control measures upon completion of the project prior to final approval of the permit. � <br /> 7. All excavated material from toundation, sidewalk and driveways shall be hauled to an approved, permitted site. � <br /> No wasting of material is allowed on this building lot. 0 <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> � <br /> � <br /> 0 <br /> Qr <br /> -,�,� ��,���l•���I r. r - � �— I � <br /> ± y_.v . .{��.7 � ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicant hereby agrees to hoid and <br /> save harmless the City of Everett from any and all claims(or <br /> damages,costs,expenses,or c�uses of action thal may arise <br /> � because of installation and maintenance of the improvement <br /> �/'��_ /r �,,'_��, or olher righFot-way use hereto applied for and further agrees <br /> •� to remove same upon nolice from�he City and to reptace <br /> App� d �Const�u i0r� � ate public propeAy damaged lherPby. <br /> �t _�`"� � -2�- 1 <br /> r;A� iNSPF ioN �a�e Cl�.:v�. /� Iti'4.��i�-, I � %S�' f I C, <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED OY THIS P[RMIT h1UST BE STARTED WITNIN I80 DAYS OF DATE PERMfi 15 ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEf10N. THIS PERMIT P7AY BE CANCELLED BY THE CIT'UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />