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�-� <br />/1% ;����r �: <br />PUBLIC WORKS PERMIT <br />Gty of Everelt Pub6c Works Department <br />3200 Cedar Street <br />Everett, WA 96201 <br />(425)257-8810 <br />Date: 1/8/2010 <br />Public Works Permit #: PW1001-005 <br />Buildinp Permit #: C0912-017 <br />Planninq Reference #: <br />Public Works Fee S: S 25,00 <br />Other 5: <br />OWNER NAME AND AD�RESS: APPLICANT NAME AND ADDRESS: <br />WAHLLARRY <br />9013 4TH AVE W <br />EVERETT WA 98204 <br />PHONE: 4257504064 PHONE: <br />TAX PARCEL ID N 00392300001007 SITE ADDRESS� 9013 4TH AVE W <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION WlATTACHED GARAGE <br />SEE PERMIT #80912-029 FOR DETACHED GARAGE <br />PERRIIT CONDITIONS <br />1 All calls for inspechon shall be made 24 hours m advance. <br />2. All work shall be performed in accordance �vdh the permit and current Cdy of Everett Design and ConstrucGon Sfandards <br />and Specifications <br />3 Call Location Underground Service 48 hrs be(ore you dig TOLL FREE NUMBER 811 � <br />4 RooRop runoH must be discharged lo a roof downspout infiltralion syslem per City of Everell Slonn Manual <br />3-2 6 2 The approximate size trench is 3 5' wide, 2' deep and 25 long See atlachment for more detads m <br />5. The contraclor must meei wlih the Pubhe Works Inspector (cali Cldi lindman at ��39-74Ca4)�ko�+seuss to � <br />--� <br />discuss these issues prior lo beginning the pre�ect --� y��� 3 d ��,� -� <br />G. All excavated matenal from foundaUon, sidewalk and driveways shall be hau � tt��pprov���qnlR�sde' <br />No wasting o( material is allowed on ihis budding lot � m • y� <br />H <br />7. No dirt, mud, rocks or debns to be lracked onto roadway �•,7 <br />8. No buddmg materials to be slacked on roadway and roadway to be kept clean �d open for pedestrian travel p <br />r� � <br />� <br />� <br />0 <br />, o� � <br />�� �� � <br />� i_n r-�"- .c �r+ �-�- r� <br />c: r� r� r- .0 r.i f- �s+ r-� <br />��i r.��•+oo�-no�r� <br />�tT•�c�$i�^.L'�c4.o`��'.� c7 <br />� <br />TO POSTING X �� I� <br />��`��,,� /-8- /D <br />Appr ed for Co�slruclion Dale <br />v+�.�������.�. .,�,.. /2 OZ <br />roved as Conslrucled <br />r <br />ACKNOWL[CGEMENT OF CONDITIONS <br />The undcrsigned ownedapplicant hereby agrees to hold and <br />save harmless Ihe Cdy ol Everetl from any and all cla�ms foi <br />damages, costs. expenses, or causes of adion Ihal may anse <br />because ol mstallahon and maintenance of ihe improvement <br />or other righbol-way use hereto applied for and lurther agrees <br />to remove same upon nolice Irom Ihe City and to replace <br />public property damaged thereby. <br />�-��ilrn.f�/��D � ^ Z 5 -�(/ <br />Signature of'ApplicaN Dale <br />WORK AUTHOIi1ZED BY THIS PERMIT MUST B[ START[D 1VITHIN 180 UAYS OF DA7E PERFiR IS ISSUED AN� THEREAFTER IS TO BE DILIG[NTLY <br />PURSUED TO COPiPLETION. TMIS PERhtIT MAY BE GINCELLED �Y THE C1lY UPON ANY STOPPAG[ OF WORK ON THIS PROJ[CT OVER 90 DAYS DURAP,OtJ. <br />