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i• <br />' [�i' � 'C�s ' % <br />PUBLIC WORKS PERMIT <br />Ciry of Everett Public Works Department <br />3200 Cedar Street <br />Everett. WA 98z�� <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />MAl USCHAK SEAN <br />22C � RAINIER AVE <br />EVERETT WA 98201 <br />PHONE: 4259238136 <br />TAX PARCEL ID k 00401547200102 <br />DESGftIPT10N OF PROPOSED WORK: <br />FENCE 8 PATIO IN RIGHT OF WAY <br />Date: <br />Public Works Permit #: <br />Buildmq Permit #: <br />Planninq Reference #: <br />Public Works Fee $: <br />Olher g: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 2201 RA� R AVE <br />611 512 00 9 <br />PW0908•014 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />Z. All work shall be peAormed �n accordance with the permd and current City oi Everett Design and Construc6on Slandar s <br />and Specifications. I I <br />3. Call Location Underground Service 48 hrs before you d�g. TOLL FREE NUMBER 811 I� <br />4. No dirt, mud, rocks or debris to be tracked onto roadway. <br />broken or <br />utter and s�dewalk as per Ciry oi Everett Standard Plan #'s 305A 8 306 on ihis <br />5. No building materials to be stacked �n roadway and roadway to be kepl clean and open for pedestnan r <br />6. Remove and replace curb, g <br />proFosat� tron[age as directed by the Public Works �nspector (i.e. all unused driveways an any <br />damaged area must be replaced). <br />g. Fence shali be litt�ited t fi m height outs de o( the frun't se back areaice line <br />For questions arid inspections call Randy A�len, 425-339-7403 <br />.. ����(��Y�= <br />� <br />i -/J-Oi <br />_� <br />Date �1 <br />�-ZO -�/ <br />ACKNOVJLEDGEMENT OF CONDIe 10 o hold and <br />The undersigned ownerfapplicant hereby �9 <br />save harmless Ihe City ot Evere�l from any and all claims tar <br />damages, costs, expenses. or causes o� action Ihal may arise <br />bewuse oi installalion and maintena ed (or and turthe agrees <br />or other rinh4ol-way use hereto app <br />lo remove same upon notice irom Ihe City and to replace <br />mpert damage�d thereby. <br />i ' <br />, 6 �� <br />ol Applicant Dale <br />n�..,.. . <br />qpproved a Constructed <br />VlORK AUTHORIZED BY THIS PEfi�'IIT �'��� BE � AFTED 1'. RHIN 180 OAYS 0�� DATE PERMR IS ISSUED APiD THEREAFTER 15 TO BE DILIGE <br />PUR`.UED TO Wh1PLET70��, TH�S PERMiT tdAY BE CANCEI L[C UY THE CfTY UR�N ANY STOPPAGE OF WOFr: ON THIS PRO)ECT OVER 90 DAYS DUR�+TION. <br />