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PUBLIC WORK� P�RMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 6/8/2010 <br />Public Works Permit #: PW1006-C 11 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 45.00 <br />Other $: <br />OWNER NAME AND ADDRESS: P.PPLICANT NAME AND ADDRESS: <br />ADE,ROBERTJ <br />3213 NASSAU ST <br />EVERETT Wq 98201 <br />PHONE: 4258290998 PHONE: <br />TAX PARCEL ID k 00437577200800 SITE ADDRESS: 3213 NASSAU ST <br />DESCRIPTION OF PROPOSED WORK: <br />PAVE PARKING SPOT OFF ALLEY <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shali be performed in accordance wiih the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Undergro�^d Service 46 hrs before you dig. TOLL FREE NUMBER 811 r-- <br />4. The contractor must meet with the Public Works Inspector (call Randy Alien at 425-339-7403) to discuss <br />potential drainage routing prior to beginning the project. <br />5. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is aliowed on this buildiny lot. <br />6. No dirt, mud, rocks or debris to be tracked onto alley. <br />7. Parking dimensions per City Standard (9.5' x 17') <br />i <br />/-' > <br />% ?c�/ —_ (�-' <br />r Construc(ob�i7 Date <br />/� , �� � <br />Date <br />� � ,� -r D <br />� <br />W <br />� <br />� <br />� <br />� <br />h <br />z <br />O <br />O <br />a <br />ACKNOWLE�GEMENT GF .^.ONDITIONS <br />The undersigned owner/app�icant hereby agiees to hold and <br />save harmless the City of Everett from a�y and all claims tor <br />damages, costs, expenses, or causes of action that may arise <br />because oi inslallation and mainlenance of Ihe improvement <br />or otlier righl-of-way use hereto applied for and further agrees <br />lo remove same upon notice (rom the City and to replace <br />pubiic property damaged thereby. <br />Signature of Applicanl <br />Dale <br />WORK AUTHORIZED BY THIS PERh1R MUST BE STARTED WITHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO C0�1PL:110N. THIS PERMIT MAY BE CANCELLED BY iHE CITY UPON ANY SiOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />