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PUBLIC WORKS PERMIT Date: 8/23/2010 <br /> Public Wor;<s Permit#: PW1008-031 <br /> City of Everett Public Works Department guildinq Pefmit#; B1008-018 <br /> � 3200 Cedar Street <br /> Everett, WA 98201 Planninp Reference#: <br /> (425)257-8810 public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> TILLEY BILi.8 SHERI <br /> 5134 ELM ST <br /> EVERETT WA 98203 <br /> PNONE: 4253030122 PHONE: <br /> TAX PARCEL ID p 29043600409500 SITE ADDRESS: 5134 ELM ST <br /> DESCRIPTION OF PROPOSED IKORK: <br /> NEW POLE BUILDING <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shail be made 24 hours in advance. <br /> 2. Ail work shall be performed in accordance with the perrr:it and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs bc:fore you dig TOLL FREE NUMBER 811 <br /> 4. Rooflop runoff must be discharged lo a roof downspout infiltration system per City of Everett Storm Manual <br /> 3-2.6.2. The approximate size trench is 3.5'wide, 2'deep and 25' long. See attachment for more details. m 3 �,W <br /> 5. The conlractor must meet with the Public Works Inspector(call Randy Allen at 425-339-74D3) to discuss-pote�ai � `'� <br /> , _ ��.., — C/� <br /> drainage routing prior to beginning the project. � �:, �— ,- <br /> 6. All excavated material from foundation, sidewalk and driveways shall be hauled to an approv� pefm_mRt�ed;sit�� � <br /> No wasting of material is allowed on this building lot. ';; T O <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> w � � <br /> � <br /> � <br /> ?cr `' <br /> cn <br /> PJ �c7�' <br /> ,.J� � <br /> " <br /> (J, � ��� <br /> �=�a: �':- �.O <br /> ;v,� '��;; . <br /> �;5,`�+ <br /> ,'�, <br /> r� ���TING 9 - z � - �� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hoid and <br /> save harmless the Cily of Everell from any and all ciaims for <br /> damages,costs,expenses,or causes of aclion that may arise <br /> because of installation and maintenance of the improvement <br /> ^ /� ' /� ` _��_ �j_��) or olher righ�•of-way use hereto applied for and furlher agrees <br /> -/✓ " K'� • to remove same upon nolice irom the City and to replace <br /> AppYroved ier Construction Date public propeAy damaged thereby. <br /> �4�- Ia�.�l1�:hN� �� �22� � j � ---'` <br /> � FINAL INSFCCTION Date � ��� � � ��� <br /> Approved as Constructed Signature�Applicant � Date <br /> 1VORK�UTtiORIZED�Y TNIS PER�11T h1U5T�[SfARTED WITHIN 180 DAYS OF DATE PERh11T 1S ISSUED AND THEREAFiER IS TO BE DILIGENTLY <br /> PURSU[D TO COhIPL[�ION. TI115 PERh11T P1AY PE UNCELLED 8Y THE CITY UPON ANY SfOPPAGE Of WORK ON THIS PR07ECf OVER 90 DAYS DURATION. <br />