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PUBLIC WORKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett Public VJorks DepaRmenl guildinq Pe�mit #; <br />T r� -�_,�, 3200 Cedar Street <br />�'`' Yy�`r Everett, WA 9E201 �lanninp Reference#: <br />(425) 257-8810 public Works Fee $: <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />BRITTON MARY A <br />4625 RUCKER AVE <br />[VERETT WA 98201 <br />PHUNE: 4252594338 <br />AX PARCELlD # 00407800902400 <br />DESCRIPT�ON OF PROFOSED WORK: <br />NEW DETACHED GARAGE <br />PHONE: <br />SITE ADDRESS: 4625 RUCKER AVE <br />8/25/21i10 �� <br />PW100E-034 <br />B1008-021 <br />$ 25.00 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be periormed in accordance wilh the permit and current City of Everett Design and Construction Standards <br />and Specificalions. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Connect rooftop dewnspouts to the side sewer. <br />5. The contractor must meel wilh the Pubiic Works Inspector (call Randy Allen at 425-339-7403) to discuss poten�al <br />drainage routing prior to beginni�y lhe project. eFfiilte'd'site= <br />6. All excavated material (rom toundation, sidewalk and driveways shall be hauled to an approved, p � <br />No wasting of material is allowed on Ihis building IoL '"- �,_� o - <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. =1 ''' � <br />8. No building materials to be stacked on sidewalks and sidewalks to be kept clean and open tor�edestrial trave�r <br />c= <br />r-- <br />TO PQSTiNG g"2�'�I <br />� ' ^' - <br />, . �( <br />' ,(� /✓ CY�1^- �'I'r�`J� �C� <br />Approv�� for Constr tion - Dalc <br />. . = ����- 7 /- �� <br /><<, � <br />INA INSP� TION Date <br />Approved as Constructed <br />� <br />GJ <br />ra <br />dy �'.� a. r <br />:� � <br />:"J:`*i��.� <br />-i�n�:�;� <br />�. ., � <br />-, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to hold and <br />save harmless Ihe Ciry ot Everett trom any and all claims for <br />damages, costs, expanses, or causes of action that may arise <br />because of installation and maintenance of lhe improvemenl <br />or other righl-of-way use hereto applied for and tuAher agrees <br />lo remove same upon notice irom the City and lo replace <br />public property damaged Ihereby. <br />,�, �i�, f�� 1�,t-) ��/��/�� <br />� ///I''Lu.4 <br />Signplur�pplicanl Da�e <br />1 <br />WORK AUTHORI2EU BY THIS P[RMIT MUST OE STARTED WITHIN 180 DAYS OF DATE PERM ISSUED AND THEREAFfER I$ TO BE DILIGENTLY <br />PURSUED TO COMPLLTION. THIS PERMIT MAY OE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECl' OVER 90 DAYS DURATION. <br />