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PUBLIC WORKS PERMIT Date: 5/13I2010 i <br /> i= Public Works Permit#: PW1005-011 <br /> City of Everett Public Works Department <br /> �� 3200Ced.:rStreet BuildinqPermit#; 61005-014� <br /> Everett, WA 38201 Planninp Reference#: <br /> (425)257-8810 ��/ <br /> Public Works Fee$: f <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PILKENTON, R <br /> 7224 OLYMPIC DR <br /> CVERETT �n/q 98203 <br /> PHONE: 4253432593 PHONE: <br /> TAX PARCEL ID# 00394000005900 SITE ADDRESS: 7224 OLYMPIC DR <br /> DESCRIPTION OF PROPOSED WORK: //` /�j��C r Y�/`]--��-��Gojc/ <br /> �F -i: �//L� L�./'/7'�C- — � i<-i / l�/<'/f%/�//.L�'-- <br /> 7-2�;1/c h' Tt ic STC' ` � <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. Ail work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Catl Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. The contractor must meet with the Public Works Inspector(cail Randy Allen at 425-339-7403) to discuss potential W <br /> dreinage routing prior to beginning the project. ::, ' <br /> 5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales;_; � �� <br /> swales, or erosion blankets. - - • ' -�- � C/� <br /> 6. Remove erosion control measures upon complelion of the project prior to final approval of the'permiC.' '. <br /> 7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site_ ; � <br /> No wasting of material is allowed on this building lot. -0 <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> I -� <br /> H <br /> _!/� <br /> :; �_ :a <br /> �O O S I /NG I I� Z I — �I ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/2pplicant hereby agrees lo hold and <br /> save harmless the City of Everett from any and a�l claims for <br /> � damages,cosis,expenses,or causes o(action that may arise <br /> � because oi inslallation and maintenance f the imorovement <br /> ��� . � ' Si �-�C"� or other right-of-way use heret�plied r and furlher agrees <br /> A roved fcr COn truction Date to remove same upon notice'� Ihe iry and to replace <br /> PP / public property c�i3§ed there � <br /> / � �_ O i %� i <br /> ��'�l--%%�% •-:/` - G/',,.� �, ,�'���� sr-- °��/G, <br /> �NfiL t SPECTION Date --.-�-.-r,-- S6 <br /> Approved as Conslructed ����� ��� Signatur�f Applicant Dale <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN I80 DAYS OF DATE PERMff IS ISSUED AND THEREAFiFR IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEl70N. THIS PERhiR MAY BE CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRW ECT OVEF 90 DAYS DURATION. <br />