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PUBI_IC WORKS PERMIT Date: 6/13I7.Oi4 <br /> C� Public Works Permit#: PW1405-015 <br /> City of Everett Pub6c Works Department <br /> ,s. `,�a� � 3200 Cedar Street Buildinp Permit#; C1406-005 <br /> y, Everett, WA 9820t Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee:o: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAhiE P,ND ADDRESS: <br /> HAACK BROS CONSI INC <br /> 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE: 4253977360 PHONE: <br /> TAX PARCEL ID tl 00545104001700 SITE ADDRESS: 2514 JACKSON AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEW HOUSE <br /> PERMIT CONDITIONS <br /> 1. All calls (or inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed m accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifcations <br /> 3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br /> 4. Per approved plan. T, <br /> 5. Connect side sewer per City Standard#'s 601, 602, 604. a; C� <br /> 6. Install erosion control measures as determined�by the-f'abficMtlork5irr5peCtor;-SheFr3s s'itt fen�Q;;f�2�V'bal� rS+ � <br /> swales, or erosion blankets. -.-..T c+a�n�+s:x�a c U�a T T=��s rv�se cn T'a � <br /> �Jrr-=��! rr�r s�m ���J m �m� z <br /> 7. All excavated mzlerial from foundatic�, side�y,�tt�an�df&��shsll '�iauled Sa�'i ap�ove�, p�t�it�'ed sit�. � <br /> No wasting of material is allowed on this�uil�+n�of ��� U'�m � <br /> 8. No dirt, mud, rocks or debris lo be trac d onto roadway. �; a, � <br /> 9. No building materials lo be stacked on�ewalk/roadway and sidewalWroadway to be kept clean and open f6 G�� � <br /> pedestrian travel �.7 'J � <br /> 10. Pave driveway (rom the front property9ine oul to lhe street paving, ,' Z <br /> Your Pubhc Works Inspeclor is Randy�1(e�j Call 42�,339;�,403�o�aRy�uest�ons andlor,jpspg�tion�, =� - � <br /> tn cs+ es-r. � e� n r n r.�Es.r.s. E.a ss.r-.r�r, r K.�n [� <br /> i:� r.�r.�r� o�n .�����-.o� �Nor�r�ra�,o.c}.<ra�.i..:•o-� r, <br /> O• �C�OL�1Pt�G0�� ��'7`•?�G•T�OOL'1•_ �G�_ �rOGA r^ <br /> � . . O. . . �. . O O. C�. . Vl <br /> '�:Oc'voc.no�'ovi�nc�'o�ir�c'.c:��C;%n`F_�.c�vi o <br /> r r '�O <br /> ---i N <br /> L•1 ^ <br /> 1'" h.Ly <br /> 1�'L' <br /> J <br /> TO �OSTI��G � � �'-`' <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignec owner/applicant hereby agrees lo hold and <br /> save harmless Ihe City of Everett from any and all clalms lor <br /> �— damages,cosls, expenses, or causes ol ac6on that may arise <br /> because ot insla!lafion and maintenance of the improvement <br /> G / or other right-o6way use hereto applied (or and furiher ag:ees <br /> ' to remova same upon notice Irom the Cily and to replace <br /> ApprOve for Construct on Oate ublic property damag d thereb;�. <br /> F INSPECTION Date ^ "' � ( - `� � <br /> � Approved as Constructed / -30 -/ ign ture o(Appiic t Date t. <br /> WORK AUTHORIZED BY THIS PER�4CT MUST BE STARIED N'RHIN 180 DAYS OF DAIE�P RMR IS ISSUED AND THEREAFTER IS TO BE DIUGENTLY <br /> PURSUED TO COMPLEiION. THIS PERMR MAY BE CANCELLED BY THE CITY UGON ANY STOPPAGE OF WORK ON THIS PRO]EC!OVER 90 DAYS DURATION. <br /> �VV <br />