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�� PUBLIC WORKS PERMIT Date: O6/03/2011 <br />Public Works Permit#: PW1106-003 <br />City of Everett Public Works Department <br />320o Cedar Street Buildincl Permit #; C1105-003n , <br />Everen, WA 98201 Planninp Reference#: �t� <br />(425)257-6810 <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />LAWLESS DIANA <br />10802 4TH AVE SE <br />EVERETT WA 98204 <br />PHONE: <br />AX PARCELID N 00744000002300 <br />DESCRIPTION OF PROPOSED WORK: <br />HOUSE ADDN 8 BATH REMODEL <br />PHONE: <br />SI'i: ADDRESS: 10802 4TH AVE SE <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 611 � <br />4.The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning <br />lhe project <br />5. No dirt, mud, rocks or debris to be tracked unto roadway. <br />6. No building materiais to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for, <br />pedestrian traveL <br />THE PUBLIC WORKS INS?ECTOR IS CLIFF LINDMAN 425-339-7404 <br />TQ POSTING � °�' °�, Z <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everetl from any and ail claims for <br />damages, costs, ezpenses, or causes of action that may arise <br />��� /� because of inslallation and maintenance of Ihe improvement <br />�_ 3�/ or other right-of-way use hereto applied tor and fuAher agrees <br />44'r to remove same upon notice from the City and to replace <br />Appr�ed for Construction Date public p erty dam ed thereby. <br />�- o-/ _..._� --� 6/� ���( <br />INSPEC ION Date /Z _G Z-�� / <br />Approved as Constructed Sighat e of A' nl D�te <br />WORK AUTHORIZED BY 1H15 PERPiR MUST BE STARTtO WITNIN I60 DAYS OF DATE PERMTf IS ISSUED AND THEREAFfER IS TO BE DILIGEMlY <br />PURSUED TO COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CiTY UPON ANY S70PPAGE OF WORK ON THIS PROJECf OVER 90 DAYS DURATION. <br />