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PUBLIC WORKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett Public Works Department Building Permit #; <br />3200 gedar Street 04-12-2010(0) 16:16 <br />Everett,.\NA 98201 REG-1 02(4511nninq Reference#: <br />(425)267-8810 <br />fERHIT lla.1003027 Public Works Fee $: <br />Other $: <br />r ' APP •I- NAME AND ADDRESS: <br />OWNER NAME AND ADDRESS: 1 BLDG. r• <br />COOPER ARLIE & CONNIE i DRIVE OWNS 3.00 <br />4618 HOYT AVE 1 6 C $4•`0 <br />1. <br />EVERETT WA 98203 TL 789 -10CHECI ; IG9.10 <br />PHONE: 4252584618 PHONE: <br />TAX PARCEL ID# 00407800903000 SITE ADDRESS: 4618 HOYT AVE <br />DESCRIPTION OF PROPOSED WORK: <br />BEDROOM ADDITION <br />4/2/2010 <br />PW 1004-002 <br />61003-027 <br />$ 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 b11 <br />4. Connect rooftop downspouts to the drainage system provided for this lot. <br />5. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to w <br />beginning the project. [� <br />6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales or erosion blankets. <br />7. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />9. No building materials to be stacked on sidewalks and sidewalks to be kept clean and open for pedestrian travel. <br />FOR PUBLIC WORKS INSPECTIONS CALL RANDY ALLEN AT 425-339-7403 O <br />H <br />a <br />TOFcsnkgG 5-3-\`1 <br />�0 <br />Appr or Constru on Date <br />- Z 7--lo <br />FINAL INSP UTION Dale <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expense,, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />Signature of of A� Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTL! <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CrrY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />