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� <br />.�� . <br />``' C=,r?�c:,�T? <br />PUBLIC WORKS PERMIT <br />City of [verett Public Worhs Departmenl <br />3200 Cedar Street <br />Everett, �VA 98201 <br />(425) 257-8810 <br />OWNER NAM� AND ADDRESS: <br />PERRY DAL[ A 8 SHIRL[Y � <br />1531 RAINIER AVE <br />EVEF�TT WA 98201 <br />PHONE: <br />TAX PARCEL ID # C0438830801500 <br />DESCRIPiION OF PROPOSF� WORK: <br />PUBLIC WORKS FOP. DETACHED GARAGE <br />Date: <br />Public NJorks Permil #. <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee S <br />Other $: <br />APPLICANT NAME AND A�DRESS: <br />PHONE: <br />SI7E ADDRESS: 1531 RAINIER AVE <br />7122/2014' <br />PW1407-025 <br />C1407-008 <br />�� <br />$ 40 00 <br />PERMIT CONDITIO�S <br />1 All calis for inspection shall be made 24 hours in advance. <br />2 All work shall be oeriormed in accordance with the perrnit and current City of Everett Design and Construction <br />and Specfications. <br />3 Call �.�cation Underground Sen;ice 48 hrs before you dig TOLL FREE NUMBER 811 <br />Slandards <br />4 The contractor must meet e+iih the Public Works Inspecfor lo discuss a storm water system prior to beginning,the� <br />project Call Randy Allen at 425-339-7403. ,_ � ,_, �• ,_. r. ,_ ... " �� <br />5 Roof drains cannot be connecled to se�,�er syslem. =� • <br />6 Install eros�on control measures as determined by ?he Public Works ins�btor�s�Clfia�sfiT (�r���st���ales <br />swales, or erosion blankets. � � "' "' r '= � � "' <br />7 All excavated malerial from foundalion, sidewalk and driveways shall be haulec� To an approved, QGrmitted si�. <br />No �vasting o( matenal is allowed on this building lot. �' �' <br />a� � <br />8 No dirt, mud, rocks or debris lo be lracked onlo roadway ,� <br />9 No builtlmg matenals to be stacked on side�valk/roadway and sidewalWroa�vay to be kepl clean and open for <br />pedesirian travcl U1 <br />�il �<�� . L'' i!r F. .' �Yr �'� V� <br />� n � r_ 1 � � c . � : i . .. r: . i .�. .c.. <br />;p �%'. �_-) .J Ci� i�. O i-. O a:• <br />' � ``: �.1 � . ct. r _: <br />[�i�:-:_.:S�c �c �:�._.�.i •' <br />�y�� <br />o� <br />�-- •`- <br />r� PosTiNG � �� <br />NCKNOVJL[DGE:1�1[NT OF GONDITIONS <br />The undersigned ownerfapplicanl hereby agrees to hold and <br />save harmtess Ihe Cdy o( EvereU (rom any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of inslallalion a�d maintenance o( the improvement <br />or other right•ol-�vay use hereb applied for and further agrees <br />to remove same upon notice (rom �he City and to replace <br />pub6c propedy damaged Ihereby. <br />� �� �c���.� �- � �y <br />SignatureofApplicanl Daie <br />WORK AUTHORIZED BY THIS PERFIIT 1•1UST DE STARTED WiTH W 180 DAYS OF DATE PERMIT IS ISSUED AND THER[AFTER IS TO BE OILIGENTLY <br />P�HSUED TO COh1PLETION. THIS PERI•1IT P1AY BE CANCELLED BY TI1E CITY UPON ANY STOPPAGE OF WORK ON Tfi15 PROJECT OVCR 90 DAYS DURATI0�7. <br />