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PUBLIC WORKS PERMIT Date: 6/3/2010 ' <br /> City of Everett Public Works Department PubliC Works Permit#: PW1006-001 <br /> ��,`,��� 3200 Cedar Street Buildinq Permit#; C1005-018 <br /> Everett, WA 96201 PlanninG Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SLATER CRAIG <br /> 4913 ELM ST <br /> EVERETT WA 98203 <br /> PHONE: 4252597258 PHONE: <br /> TAX PARCEL ID# 00449500010500 SITE ADDRESS: 4913 ELM ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> HOUSE ADDITION <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 811 <br /> 4. The contractor must meet with the Public Works Inspector(call Randy Allen at 425-339-7403) to 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, strawbales, � <br /> swales, or erosion biankets. ' Uj <br /> 6. Remove erosion control measures upon completion of the project prior to(inai approval of the permit. . � <br /> 7. No dirt, mud, rocks or debris lo be tracked onto roadway. O <br /> h <br /> z <br /> 0 <br /> � F <br /> � <br /> ' .o <br /> . _. a <br /> - , : , . : �., �{,Z�_i � <br /> i c.. t t��.� s i�r'v_--- <br /> nA1lln^� �� ACKNOWLEDGEMENT OF CONDITIONS <br /> dIV 3�J The undersigned�wner/applicant hereby agrees to hoid and <br /> save harmless the Cily of Everetl from any and all claims tor <br /> � damages, costs,expenses, or causes of aclion that may arise <br /> because of inslallalion and mainlen ce of lhe improvement <br /> — �,��iM„f ,J `_����a or olher righl-of-way use hereto a Iled;or and(uriher agrees <br /> A %vE8-f��C nst�U ion, � Date to remove same�n notice fr the City and to replace <br /> PP . , / 7 ( public property damagE�t�tEby: <br /> e � C j � 7 _ s� /��� , <br /> FINAL INSPEC7 0N Date �— '� �� – � ` <br /> Approved as Constructed Signature o(Applicant Date <br /> 1VORK AUTHORIZED BY THIS PERM1IR�1UST BE STARTED WITHIN 180 DAYS OF DATE PER�1R IS ISSUED AND THEREAFfER IS TO BE DIl1GENTLY <br /> PURSUED 10 COh1PLEilON. THIS PERNIT h1AY BE CANCELLED BY THE CfTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />