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��E E� TT <br />PUBLIC WORKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett Public Works Department <br />3200 C�dar Street _ '�'� i FFi 14:°�1 Buildinp Permit #; <br />Everett"41IA.98201 !:[-] l�''"''" <br />�ahninq Reference#: <br />(425) 257-8810 1 <br />�F�'��i? }�0.1101���i; � Public Works Fee $: <br />nfher $• <br />, ,� r:• .,,� � - - <br />��-� APPLICAN J�IAME AND ADDRESS: <br />OWNERNAMEANDADDRESS: i i!>.1!4. . U, <br />WILSON ELAWE I i '. ;,4,�1 <br />6716 LARIMER RD �' �� (� � 1 ", ��� <br />i,l _, _?;il.�� <br />EVERETT WA 98208 <br />PHONE: PHONE: <br />TAX PARCEL ID # 28050500402101 SITE ADDRESS: 6710 LARIA4ER RD <br />DESCRIPTION OF PROPOSED WORK: <br />DETAChED POST FRAME BLUG <br />1/24/2011 / <br />PW1101-007 <br />B1101-009 <br />$ 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 �n a;,cordance 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 Pubiic Works Inspector to discuss potential drainage routing prior to beginning <br />the project. <br />5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw baies, <br />swaies, or erosion biankets. <br />6. Remove erosion control measures upon completion of the project prior to fnal approval of the permit. <br />7. No diR, mud, rocks or debris to be tracked onto roadway. <br />8. If domestic �vater is to be provided to the building(via a hose or permanent piping), 2 consultation with the Ciry <br />BackFlow Prevention Specialiast is required. <br />THE INSPECTOR IS RANDY ALLEN 425339-7403. <br />FINAL IN <br />TO POSTING '� z`� i 2 <br />as Constructed <br />i- z¢-�� <br />Date <br />�-2z-�/ <br />W <br />� <br />� <br />� <br />0 <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDII'ION� <br />The undersigned ownerlappiicanl hereby agrees 10 hold and <br />save harmless ihe City of EvereU imm any and all daims for <br />damages, costs, expenses, or causes of action thal may arise <br />because of installalion and maintenance of ths improyement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon nolice from 1he Ci�y and to replace <br />public propert damaged lhereby. <br />� � , ��,� � ZS��/ <br />Signature of AF plic:int Date <br />WORK AUfHOR12ED BY THIS PERMIT MUSf BE STARTED VdRHIN IRO DAYS OF DATE PERMIT �S ISSUED AND THEREAFTER IS TO BE DJLIGENTLY <br />PURSUED TO COMPLtT10N. THIS PERMR MAY BE CANCELLED BY'rHE LITY UPON ONY Sl UPFAGE OF WORK ON THIS PRO]ECi OVER 90 DAYS DURATION. <br />