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PUBLIC WORKS PERMIT Date: 12/29/2014 <br /> Public Works Permit#: PIP11412-084 <br /> - Gty of Everett Public Works Department <br /> �� .�, 3200 Cedar Street Ouildinp Permit#; <br /> Everen, W� 98201 Pianning Reference� <br /> (425) 257-8810 <br /> Public Works Fee$� S 25.00 <br /> Other 5: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HUGHES PARTNERS LLC WILL HUGHES <br /> 8538 NE 1371h PL SAME <br /> KIRKLAND WA 98034 <br /> PHONE: 4256811969 PHONE: <br /> TAX PARCEL ID p SITE ADDRESS: 1508 MAPLE STREET <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONNECT SUMP PUIJIP TO CATCH BASIN <br /> (12/79/2014 926 AM BES) <br /> CONNECT SUfv1P PUMP TO CATCH BASIN IN THE RIGHT OF WAY <br /> PERMIT CONDITIONS <br /> 1. All calts for inspection shall be made 24 hours in advznce. <br /> 2. All wcrk shail be performed in accordance with the permit and current Ciry of Everel; Design and Construction Standards <br /> and Specifications. <br /> 3 Call Location Underground Service 48 hrs before you dig. TOIL FREE NUMBER 811 <br /> 4 If the sump pump drains through the sidewalk onto the curb you have to use the City of Everett standard #31�, � ;� <br /> m <br /> 6 Priar to starting constructio� tLe contractor must cortacl lhe �' �y �w <br /> City of Everertt Inspector Randy Allen AZS-339-i403 ~ =+ • � <br /> �7 �=� V <br /> �> � � �, <br /> c; , i � <br /> � M <br /> r� �w <br /> U] %�J <br /> c� m �O <br /> c� i <br /> � �� <br /> 1;� <br /> � /1 <br /> LT,1 =�� <br /> �. , K. _ F"' <br /> t l O L� <br /> '-8'O O C• •.O <br /> �J��l <br /> +� <br /> � H <br /> �_. cn I�� <br /> ACKNOVJL[DGEMENT 0� CUNDITIONS <br /> l hc unders.c�ned o�vncrlapplicanl herehy agrces to hold and <br /> save harmless the City of Everelt(rom any and all claims for <br /> damages,costs,ezpenses,or causes of action Ihal may arise <br /> � � - � / bewuse o(installa�ion and main�enance of the improvement <br /> �� - _ M� lj/ l9 �j�L,G or olher right-of-way use hereto applied(or and furiher agrees <br /> A lo f Co stru Da � to remove same upon nolice trom the City and lo replace <br /> pp � � public property da�haged Ihereby. <br /> ..3-� -/S �� b � <br /> FINAL INSPE ON Date <br /> Approved as Construcled Signature o( ppl�cant Date <br /> 1'rORK AUTHORIZED OY THIS PcRPtif NUST BE STARTED VJITHIN Ifi0 DAYS OF DATE P[RMR 15 ISSUED AND THERFI�F-TER IS TO�E DILIGENTLY <br /> VURSUED TO CO�dPLETIOi:. T11I5 PER�4IT hiAY BE UNCELLED BY TN[CffY UPON ANY STOPPAGE OF R'ORK ON THIS PROJEC�OV[R 90 DAYS DUFLITION. <br /> C <br /> ril-� � � �3 � z-o��-� <br />