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/ <br /> PUBL�C WORKS PERMIT Date: 11/14I2008 <br /> City of Everett Public Works Department Pubiic Works Permit#: PW0811-014 <br /> � 3200 CedarSireet �,; , �-,'.�ii�';�iN�li 1��21 Buildinp Permit#; B0811-003 <br /> �r� � Evere�yyA 98201 FLG-i i� <br /> ' nmq Reference#: <br /> (425)257-8810 CI <br /> FER'r�f� i+D.OP1ii�0? Public Works Fee $: $ 25.00 <br /> Other $: <br /> Ln„L'_� LrJ.�� <br /> OWNER NAME AND ADDRESS: 1 FRPJt APPLICI��NAME AND ADDRESS: <br /> SMITH CHARLES i �� �; ��,;�� <br /> ��—�-r�� «� <br /> 1021 RUCKER AVE ��. �1'.J.-t� ' J <br /> EVERETT WA 98201 �'�SH a''' ,i�� <br /> '_.I] 2��.cJ <br /> PHONE: 4254220223 PHONE: <br /> TAX PARCEL ID p 00385421500500 SITE ADDRESS: 1021 RUCKER AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> DETACHED GARAGE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with lhe permit and current City of Everett Design and Construclion Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect roo(top downspouts to lhe drainage system provided (or this Iot. <br /> 5. fhe contractor must meel with lhe Public Works Inspeclor to discuss polential drainage routing prior to beginning � <br /> lhe projecL F" <br /> 6. Install erosion control measures as delermined by the Public Works inspector, such as sill fence, slraw bales, � <br /> swales, or erosion blank.;ts. <br /> 7. Remove erosion control measures upon comple�ion of lhe project prior lo fnal approval of the permit. � <br /> 8. No dirt, mud, rocks or debris lo be tracked onto roadway. 0 <br /> 9. Pave driveway from lhe front property Iine out lo lhe alley paving "7 <br /> FOR PUBLIC WORKS INSP[CTION, CALL RANDY ALL6N AT 425-339-7403 O <br /> � <br /> Te �QSTING-� �� � � � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees lo hold and <br /> — savc harmless ihe CAy of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> / � because o(inslallation and maintenance ot the improvement <br /> __ � ,`�'Z_ ��-/j=���� or other right-o4way use hereto applied for and fuAher agrees <br /> Appf v d f r Cor slructi � Date lo remove same upon otice from the City and to replace <br /> � rublic pro�rty da ed thereby. � <br /> V �"L� ;��� 1 —��—��� % � l � � � '�� <br /> INAL INSPEC ON Date yyy <br /> Approved as onslructed ignatu�e ol Applicant D3te <br /> i <br /> WORK AUTHORIZED BY THIS PEFI4IT P1U5T OE STARTED\'JITHIN I&0 DAYS OF DATE.PERPIIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO C014PLETION. THIS PERh11T D1AY BE CANCELLED BY THE CIT'UPON')CNY STOPPAGE OF 1VORK ON THIS PFOJECf OVER 90 DAYS DURATION. <br />