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PUIBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />(:'%'!"��`�'��� Everett,WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />FAIRBANKS NANCYIPFEIFFER <br />��I�ITH AVE NEW <br />SEATTLE WA 98117 <br />PHONE: 4252806080 <br />"AX PARCELID ri 00438188302500 <br />DESCRIPTION OF PROPOSED WORK: <br />SINGL[ FAMILY RESIDENCE <br />Date: 3/3/2011 <br />Public Works Permit #: PW1103-002 <br />Buildinp Permit#; C1102-005� <br />Planninp Reference #t: <br />Public Works Fee 5. S 25.00 <br />Other ;�: <br />ApPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 3616 ROCKEFELLER <br />PERMIT CONDII IONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shali be periormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. � <br />3. Call Location Underground Service 4R hrs before you dig. TOLL FREE NUMBER 811 <br />4. Connect all roo(top downspouts lo ihe side sewer. <br />5. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning <br />the project. Call Randy Allen at 425339-7403. <br />6. Install erosion control measures as delermined by the Public Works inspector, such as silt fence, straw bales, <br />swaies, or erosion blankets. <br />7. Remove erosion control measures upon complelion of the project prior lo final approval ot the permi . <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. l <br />10APaUve dnve ay frfeft�-Nteironl-propesly Gn�oul o the alley paving. ����v �� �=�7 `�. `'� <br />,, J- <br />., <br />TO POSTING � Z" �' � � <br />'��� ,_,in._ � -�- -;� <br />d for COnstructi p. Date <br />� �i i� �— ��— <br />- , <br />lSPEC, 10 � Date <br />=d as 6 nstructed <br />ACKNOWL[DG[MENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmiess the City of Everelt from any and all claims for <br />damages, cosis, expenses, or causes of aclion thal may arise <br />because of installation and mainlenance of the improvement <br />or other right-of-waY use hereto applied tor and further agrees <br />to remove same upon notice from the City and to replace <br />public prope!ty damaged thereby. <br />`� �L 4 �2f>�--- `1- y- I I <br />Signature of Applicant <br />Date <br />�Nr� �. � <br />1'lORK AUTHORIZED 6Y THIS PFR�IIT �1UST BE STARTED \'JITHIN 180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO C01•1P1Ef10N. THIS PERPIIT D1AY 6E CANCELLED BY TH[ C(N UPON ANY STOPPAGE OF 170RK ON THIS PROJECT OV[R 9U DAYS DURATION. <br />