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PUBLIC WORKS PERMIT Date: 2/22/2010 <br />City of �verett Public Works Department Public Works Permit #: PW1002-019 <br />3200 ar Street �_�,_-•• Buildina Permit #; C1002-01 �,,4 <br />f�� �� �v_Oz-1�RJ> 14:07 .�. � <br />Everet�`y., 982ot �E�,_, p�p,jg�ninpReference#: •.�,1-r� <br />(425IL '8810 <br />T I^, CT �blic Works Fee $: $ 25.00 <br />FER�dI� 1l��._vu��10 <br />Other $: <br />OWNER NAME AND ADDRESS: 1 tIECN APPL� �� NAME AND ADDRESS: <br />RUPE DONALD 8 CATHY 1 PLRG SJU.06 <br />6228 OAKES AVE 1 DRIVE $�.Fi.l'A) <br />EVERETT WA 98203 1 S � $4.50 <br />a��12113 <br />PHONE: 20671967,ri7 1 ELFC PH� ai5.l1O <br />TAX PARCEL ID # 00495000301700 TL `.� g��.p,pb�ESS: 6228 OAKES AVE <br />�� . <br />DESCRIPTION OF PROPOSED WORK: <br />HOUSE ,4DDITION <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance wilh the permil a�d current Cily of Everetl 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 conlractor must meet with the Public Works Inspector (call Randy Allen at 425-339-7403) lo discuss polential <br />drainage routing prior lo beginning lhe project. <br />5. Install erosion conlrol measures as delermined by lhe Public Wcrks inspector, such as sdl (ence, straw bales, <br />swales, or erosion blankels. <br />6. Renove erosion contro� measures upon complelion of the project prior lo final approval of !he permit. <br />7. All excavated material from foundation, sidewalk and drive+vays shall be hauled ro an approved, permitled site. <br />No wasting of material is allowed on this bwlding lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />9. Upgrade the portion of side sewer which lies under the new addition to meet 2006 Undorm Plumbing Code <br />requirements <br />� <br />t" <br />i.r <br />� <br />m <br />� <br />h <br />z <br />� <br />� <br />� <br />� <br />a <br />i <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save hannless ihe Ciry of Everetl from any and all claims for <br />damages, costs, expenses, or causes o( aclion ihal may arise <br />because of installation and mainienance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the Ciry and to replace <br />public property damaged ihemby. <br />� � )' / - <br />�//��z �° � ;�< <--��� ���' -/ O <br />SignaWre of Applican� Da�e <br />�VORK AUTHORIiED UY l HIS P[Rt41T 14U5T UL STARTED WITHIN 18U UAl'S OP DATE PERMIT IS IS:,U[D AND TH[R[AF7ER IS TO B[ DILIGcNTLY <br />PUHSUCD l O COPiPI l_TION. l HIS FERfqIT �4AY �F CAIJC[LLEU Gl' THE Cll�i UPOP! AtJY STOPPAGE Of- ViORK ON TNIS PROJER OVER 90 DAYS DUMTION. <br />