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- Pus��c woRKs <br />PERNI�IT <br />PUBUC WORKS DFP,\RTMENT <br />3200 Cedar Strcnt <br />Everetl, WA902Ut <br />(425) 257•R310 FEB 2 7 2004 <br />TO FOST!��G - <br />OWNER NAME ... _""'.., ......� ......� <br />ANDADDRESS� 4;iO9 CRESCENT �� <br />;sVERE'l'T W1► 9820 <br />,�+c�NE 4252590577 <br />TAX PAR:G;I.D.1 <br />DESCRIPTION (1F <br />PROPOSED WORK�. <br />AND <br />PHONE: <br />Date <br />Public Works Portnit M <br />BuilAing Pormit a <br />Planning Roloronce a <br />Public Works Fee S <br />Guerantee 5 <br />/ <br />10/14/2002 <br />P410210-022 <br />�o2io-oia <br />$25.00 <br />KVERNMO JON/ JUDI <br />4309 CRESCENT AVE <br />EVERETT WA 98203 <br />4?525905"7 <br />4UO3 N118SAU PL <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All wo�k shall be performed in accordance with this permit and curreN Ciry ot Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect side sever per City £tandard �'s 601, 602, 604. <br />5. Connect all rooftop downspou�s to the side sewer. <br />6. Install erosion control measures per City of Everett Standards for <br />small parcels <br />7. Remove erosion contro: measures upon completion of the project <br />to final approval of the permit. <br />W` <br />r <br />V/ <br />prior„� <br />Lil <br />8. All excavated mterial from foundation, sidewalk and drivoways shal� <br />be hauled to an approved, permitted site. No y►astinq of material is ' <br />allowed on this building lot. <br />9. Remove and replace curb, gutter and sidexalk as per City of Everett <br />Standard Plan �'s 305A 6 306 on tt,is proposal's frontage as directed b� <br />the Public Works Inspector (i.e. all unused driveways and any broken o <br />damaged area must be replaced). <br />10.a11 work shall be performed in accordance with the recommendations <br />of the Nelson Geotechnical Associates, Inc. report dated Sept. 17, <br />2002. <br />:1--�a-`.i� - <br />�i �J::l�'�"-' <br />�I P.N ;'K 15� . �::: <br />_!'1'.0 ":5"-3„. <br />i �:� . ,. <br />1'; �� � <br />ACKNOWLEDGEMENt OF;CONDITIONS <br />N <br />O <br />a <br />The uMersigned oii�nedapplicant h�reby egrees ro hotd and <br />save harmless the Ciry of Eve�ftlroin.anY arW all claims Ia <br />damages, cos4s, �ipenses, or causes;of action thel mey arise <br />because of inslalla6on and malntenp�ce ol the imprwement a <br />other right-of-wayLse �ereto a�RI�Qtl tOr and tuMer agrees to <br />remove same upd5'notice trom tht City and to replace publk <br />property damagedt �8i y. ` .'r'��_ . :'� <br />-. f l�_._.. <br />�'Q-n -" �s�'�� <br />Signal olApplkarn ' , ' .. .Date <br />T+O COMPLt OON TH SYPERMIT MAY BE CANCELLED OY�THE CIN�UPON ANYOS OPPAGE OF WORK ON hi15 PRQIEC OVEfl 90 DAYS IDURATIONPURSUED <br />