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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit ik: <br />Buildinq Permit#; <br />Planninp Reference #: <br />5/4/2010 <br />PW1005-002 � <br />61004-03� <br />Public Works Fee $: $ 25.00 <br />nfher $� <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />HYATT SHE�LEY <br />PO BOX 730 <br />ANACORTES WA 98221 I �.d�CL'C'D <br />PHONE: 2064642462 �— fii�/ PHONE. <br />TAX PARCEL ID # 00606200001100 SITE ADDRESS: 506 OLYMPIC BLVD <br />DESCRIPTION OF PROPOSED WORK: <br />DETACHED GARAGE <br />PERMIT CONDITIONS <br />1. All calis for inspection ahall be made 24 hours in advance. <br />2. All work shall be pertormed in accordance with the permit and current City of Everett Design and Construccion Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 I-- <br />4. The contractor must meet with the Public Works Inspector(call Randy Allen at 425-339-7403) to discuss potential <br />drainage routing prior to beginning the project. <br />5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bale� <br />swales, or erosion blankets. -' <br />6. Remove erosion control measures upon completion of the project prior to final approval of tll8 peqn ��T- : <br />7. All excavated material from foundation, sidewalk and driveways shall be hauled to an appro�d, qi►�hit�d si�; <br />No wasting of material is allowed on this building lot. �� �; <br />—8. No dirt, mud, rocks or debris to be tracked onto roadway. �;' <br />9. Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan #'s 305A 8 306 on this ' <br />proposal's frontage as directed by ttie Public Works Inspector (i.e. all unused driveways and any b�roken or <br />damaged area must be replaced). Cn <br />10. Pave driveway from the front property line out to the street paving. � �� � <br />�.� r�..,00 <br />h� �.{ U11. : l <br />�LTI�>^�� <br />S .� �� <br />= 2 �—lc� <br />as Constructed <br />� <br />� <br />�'- <br />�� <br />--� .�-. <br />� <br />�_ �., <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save hai �less ihe City of Evereri from any snd all Geims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other righl-M-way use hereto applied for and further agrees <br />to remcve same upon notice from the Ciry ancl to replace <br />public property damaged Ihereby. <br />Signature of Appli� �nt <br />Date <br />WORK AU1110RIZED 6Y THIS PERMIT MUST OE STARTED W[THIN 180 DAl'S OF DATE PERMIT IS ISSUEU ANG TNEREAFfER IS TO 8"c DILIGENiLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIT' UPON ANY STOPPAGE OF WORK ON iNIS PROJECT OVER 90 DAYS WRATION. <br />TO POSTING � Lb 2— <br />