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PUBLIC WORKS PERMIT <br />City of Everett Publi Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS <br />KURE DAN <br />10961 VILLA MONTE CT <br />MUKILTEO WA 98275 <br />PHONE: 4255017600 <br />'AX PARCEL ID # 04174100004502 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />Date: <br />2/1/2010 <br />PU'JIIC Works Permit #: <br />PW1002-001 <br />Buildinq Permit #: <br />C1001-010 <br />Planninq Reference #: <br />h <br />Public Works Fee $: <br />$ 25.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS:: <br />PHONE: CJ �1q9 j /l lsi <br />SITE ADDRESS: 1921 A MILTED 9CU <br />LOT 2 OF SHORT PLAT <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed 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 r — <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. <br />6. The contractor must meet with the Public Works Inspector (call Randy Allen at 425-339-7403) to discuss potential <br />drainage routing prior to beginning the project. <br />7. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankets. <br />8. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />9. 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. <br />10. No dirt, mud, rocks or debris to be tracked onto roadway. <br />11. No building materials to be stacked on roadway and roadway to be kept clean and open for pedestrian travel. <br />12. Adjust water meter box 1" above sidewalk grade. <br />13. Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan #'s 305A & 306 on this <br />proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or <br />damaged area must be replaced). <br />14. Pave driveway from the front property line out to the street paving. <br />(k- `�-(a <br />-tVO I II4l7 <br />/z� <br />Date <br />as Constructed <br />W <br />■.r <br />C <br />Z <br />C <br />E_M <br />rA <br />C <br />96 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />lamages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right of -way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />ll �1 <br />Si nature of Applicant Date <br />WORK AUTHORIZED BY THIS PERNIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERr•IIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT NAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />