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PUBLIC WORKS PERMIT Date: 9/10/2008 <br /> '� Public Works Permit#: PW0809-006 <br /> City of Everett Public Works Department guildinS7 Permit#; C0809-002 <br /> " �, <br /> 3200FgdarStreet lp-py-�,1�ja(Iffi11 07�37 <br /> Evere��jqA 98201 4EG-1 02�15nninp Reference#: <br /> (425)257-8810 <br /> FE4Mii izo.i/�09(k�2 CT �ublic Works Fee $: $ 25.00 <br /> Other$: <br /> �r� AP, NAME AND ADDRESS: <br /> OWNER NAME AND ADDRESS: 1 ALDG. �y �• <br /> YI CHONG 1 I��ECH 0�1�.O11 <br /> 10120 MERIDIAN AVE 1 F'LRG $1b0.IX) <br /> EVERETT yyq ggppg 1 D�IVE $25.G0 <br /> 1 S C 54.50 <br /> PHONE: 4252908152 �I PH�`tz0O7 <br /> TAX PARCEL ID 8 00396900005700 1 5� tt SI E ' ESS: 10124 MERIDIAN AVE <br /> OESCRIPTION OF PROPOSED WORK: 1 WAIE�i $4OO.00 <br /> NEW HOUSE � 0610042 <br /> 1 ELEC Si20.�'� <br /> 1L �5•].87_41 <br /> CARD 35,187.41 <br /> LOT 2 SHORT PLAT <br /> PERMIT CONDITIONS <br /> 1. All calls for insFection shall be made 24 hours in advance. <br /> 2. All worh shall be pertormed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. W <br /> 6. Install erosion control measures per City of Everett Standards for small parcels � <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. i,,,i <br /> 8. A sprinkler system is required for this building in compliance with the requirements of NFPA Standards 13D. Vj <br /> FOR PUBLIC WORKS INSPECTION, CALL CLIFF LINDMAN AT 425339-7404 O <br /> ti <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the City ot Everelt from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> � /��� � /8`�8 because of installation and maintenance o(the improvement <br /> �;i j , `� or other right-of-way use herelo applied tor and further agrees <br /> to remove seme upon notice from the Ciry and to replace <br /> Appro ed for Construction at public property damagea thereby. <br /> –cDi��/���� — �—�.. �n,. � /°�--0�5 <br /> FI INSPECTION Date <br /> Approved as Constructed Signature of Applicanl Date <br /> WORK AUTNORIZED BY THIS PERMIT MUST BE STARTED WIfHIN 180 DAYS OF DATE PERMR i5155UE,)AND THEREAFfER IS TO BE DILI6ENTLY <br /> PURSUED TO COMPLE7ION. THIS PERMR MAY 8E CANCELLED BY THE CITY UPON ANY SfOPPA6E OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />