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P�JBLIC VIIORKS <br />PERMlT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA98201 <br />�azs�zs�-e�A oOSTING �uN <br />pWNER NAIdE <br />ANDAUDRESS-. TENOFF GRANT <br />PO BOX 64 <br />MUKILTEO WA <br />�'�{o"E q258761104 <br />TA%PARCELI.D.a __ <br />OESCRIPTION Of <br />pROPOSED WORK: NEW HOUSE <br />APPLICANT NAME <br />AND ADD(iESS�. <br />98275 <br />PHONE <br />PROJECTADDRE: <br />Dal� <br />Public Works Pcrmil x <br />Buildiny Peimit il <br />Planning Relcrence a <br />Public Works Fee 5 <br />Guarantce S <br />12/11/200� <br />PW0212-01e <br />�o��z-oo$ <br />$25.00 <br />TENOFF CF.ANT <br />PO BOX 64. <br />MUKILTEO WA 98375 <br />4258761104 <br />/ <br />PERMIT CONDI710NS LOT 1 OF SHORT PLAT 1202-14-01 <br />1. All calls lor inspeclion shall be made 24 hours in advance - phone (425) 257-8810 � <br />2. All work shall be perlormed in accordance with this permil and current Ciry o( Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 tvs. be(ore you dig. TOLL FREE NUMBER 1-800-424•5555 � <br />4. Connect side sewer per City Standard #'s b01, 602, 604. r <br />5. Rooftop runoff must be discharged to a roof downspout infiltration '^ <br />system per City of Everett Storm Manual 3-2.6.2. Width -3', D.�pth - �/+ <br />2.5', Length - 20'. <br />6. Install erosion control measures as detarmined by the Public Works <br />inspector, such as silt fence, straw bales, swales, or erosion <br />blankets. <br />7. Remove erosion control measures upon completion of the project prior <br />to final approval of t.he permit. <br />8. All excavated material from foundation, sidewalk and driveways shall <br />be hauled to an approved, permitted site. No wasting of material is <br />allowed on this building lot. <br />9. City chart� indicate that there may be sewer & water service lines <br />that run across this building footprint. These lines will require <br />relocation per City Standards if within the footprint. A sewer <br />alteration permit will be required if applicable. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />1� <br />• <br />Z <br />� <br />r <br />N <br />� <br />a <br />The undersigned owncr/applicant hereby agrees to hold and <br />save harmless 1he Ciry ol Everett irom any and all claims for <br />damages, costs, ezpenses, or causes of action that may anse <br />because ol installation and maintenance ol the improvement or <br />olhm right-ol-way use hcreto applied lor and lurther agrees to <br />remove same upon notice irom Ihe City and to replace public <br />property ama ed Ihereby. — <br />aWie ol App am ����a'` 03 <br />TJO COIAPLETOION TH S PERMIT MAY [ CANC[LLED UY�THETCITY�UPON ANYOS'TOPPAGE OF WOHK ON HNS PRO�ECT O ER 90 DAYS IOURATIONPURSUED �— <br />r l yl <br />`�i <br />