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PIJBLIC V100RK$ PERMIT �ste: 3/1/2011 <br />Public Works Permit #: PW1103-001 <br />Ciry of Evereft Public Works �epartment <br />3200 Cedar Street - � 3uildinq Permit #; C1102-0�8 <br />Everett, WA'98201 Pla�ininp Reference #: 4�� <br />(425)257-8810 - <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: �� � APPI:ICANT NAME AND ADDRESS: <br />KAINT? TIM JOHNSON CURT <br />18-A 1 iSTH ST SE W/LETTER <br />� i' <br />EVEREIT WA 98208 i `, <br />PHONE: 4253594487 1"_ PHONE: `' 4255083678 <br />TAX PARCEL ID # 00495801000800 , � �ITE ADDRE&5: 5825 LOWELL RD <br />; :!,. , <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />PERMIT CONDITIONS <br />1. All calis for inspection shall 6e 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 to discuss potential drainage rouling prior to beginning <br />the project. Call Randy Allen at 425-339-7403. <br />5. install erosion control measures as dei�rmined 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 finai approval of the permit. <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. Adjust water meter box 1" above sidewalk grade. <br />9. Pave driveway from the front property line out to the street paving. <br />3 -�- -i/ <br />W <br />F"� <br />� <br />� <br />� <br />� <br />h <br />z <br />0 <br />F <br />� <br />O <br />a <br />ACKNOWI.EDGEMENT 0� CONDITIONS <br />'ihe undersigned owner/applicant hereby agr2es to hold and <br />save hormless tne City of Everett from any and all claims tor <br />damaaes, costs, expenses, or causes of action ihat may arise <br />because of installalion and maintenance ot the improvement <br />or o�her right-of-way use hareto applied for and further agrees <br />to remove same u�on notice from ihe City and to replace <br />public properly damaged thereby. <br />,c.�—_.3- � � - � � <br />Signa ure of !� plicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUSf BE STARTED WRHIN 180 DAYS OF DATE PERMR IS ISSUED AND THERFAFfER IS TO BE DILIGENTLY <br />�, PURSUED TO COMPLEfION. THIS PERMCf MAY �E CANCELLED BY THE QTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� <br />