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PEJBLIC WORKS PERMIT Date: 413/2009 '� <br /> City of Everett Public Works Department Public Works Pefmit#: PW0904-001 <br /> �-,iy,�,.�, 3200 Cedar Street � �` � i �l 6uilrlinq Pe�mit#; C0903-007 <br /> Everett;VVA 98201 ' � '��Planninp Reference#: <br /> (425) 257-6810 CI 1 <br /> � ;��'G7 Public UVorks Fee 5' 3 25.00 <br /> ,,.. ,.,, Other �: <br /> OWNER NAME AND ADDRESS: � C:�_j;,;, AFFLI,C!{NT NAME AND ADDRESS: <br /> KARBO STEVE � �'�-h'�� ��i�).ii�) <br /> 2008 JACKSON ST ;;`;P;"r. -':�.UJ <br /> � rjj <br /> i n j. ;��'i,�. <br /> EVERETT WA 98201 ,� ; -`e>;�,:: => -� <br /> �_�r_ <br /> PHOFiE: 2086603581 f_:'1�s;1; �� PHONE;f_:,jj;' <br /> TAX PPRCEL ID# 00545003500100 SITE ADDRESS: 2008 JACKSON AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW ATTACHED GARAGE <br /> SEWER LINE TO BE CHANGED PER PLUMBING CODE <br /> PE.RMIT CONDITIONS <br /> �. All calis for inspection shall be made 24 hours in advance. <br /> 2. All work shall be per`ormed in accordance with the permit and current City of Everelt Design and Construclion Standards <br /> and Specificalions. <br /> 3. Call Location Underyround ServicE 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Side sevrer pipe material under proposed garage needs lo be ABS pipe per the Uniform Plumbing Code W <br /> 5. Existing gravel driveway between the public road and property line to be paved with asphalt <br /> 6. Open ditch west of ihe driveway to be maintained. A catcr. basin may be instatled in ils plzce- contact Storm � � <br /> Water Malntenance (Uon Hallsson, 425-257-8853) should this option be c�.>ns dered. �� � <br /> Your Public Works Inspector is Cliff Lindman and can be reached on his cc il phone 425-257-7404 � � <br /> h <br /> � Z <br /> 0 <br /> � <br /> 0 <br /> � 2 - � � <br /> I'1 4�v� i'iitiu " y� � . <br /> /%`/,7/ -�—�/l�'�/c/ /t,��— l/=-� �'�/��C-C<> ii�/ — /. ✓G/�/C <br /> � .-�-'—+=-� C�=%C�""C'/�y ACKNOWLEDGEMENT OF CONDITIONS <br /> j=�/�i�i- 5 S�7i i' � „. <br /> 'fhe undersigned owner/applicant hereby agrees lo hold and <br /> save harmless the Cily of Everett from any and all claims for <br /> damages,costs, expenses, or causes of action thal may arise <br /> / � / because o(installalion and maintenance of the improvement <br /> �l�ET��L fI'L �� J'-�/� or olher right-of-way use herelo applied(or and furthPr aorees <br /> E�lo remove same upon notice from the City and to replace <br /> Appraved for COnstruclion Date � p❑ i properly damaged thereby. <br /> /j � �� fI� � ��J / <br /> �''�'��<"�-:,_�� � z� �—— �--cr`,�,�` ���.�-t�-- lG' 2 k ��� <br /> F11d1�L'INSPECTION'� Date <br /> Approved as Cons{rucled ?- - —� Signature oi Applicant Dale <br /> 1V!�RY,AUTHORIZED�Y 1H15 PEftP11T IdUST F3E SIARTED WITHIN 180 DAYS OF DATE PFRIq1T IS 155U[D APJD THEREAFTER 6 TO BE DILIGENTLY <br /> PU.SUED l0 COf•1PLEl10iJ. TH15 P[RiqIT��IAI' BE CANC[LLFD�Y THE CITY UPON ANY STOPPAGE Of 170RK ON THIS PROJECT OVER 90 DAYS DURATION. <br />