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" -��� pUBLIC WORKS PERMIT <br />City of Everett Public Works Depariment' �' :� <br />320d CBdar Street '' <br />Everett, WA 98201 <br />(426}'257-9810_; .,:' <br />Date: <br />-Public Works Permit #: <br />;�:a� <br />r�� ����, Building Permit#; <br />'Planning Reference #: <br />Public Works Fee $: <br />Other S: <br />11/21/2011 <br />PW1111-019 <br />81111-022 <br />$ 25.00 <br />OWNER NAME AND ADDRESS: ,i APPUQA�IT NAME AND ADDRESS: <br />SCHMITZ DONALD J ' I�TNER ==';.C'1 <br />.� �, ,�.1:i..75 <br />4524 SEAHURST AVE � ;�;� ," �;";;i. ;c, <br />EVERETT WA 98203 <br />PHONE: 4254226505 PHONE: <br />TAX PARCEL ID N 00505700001200 SITE ADURESS: 4524 SEAHURST AVE <br />DESCRIPTION OF PROPOSED WORK: <br />ATTACHED GARAGE <br />PERMIT CONDITIONS <br />1. AII calis for inspection shall be made 24 hours in advance. <br />2. All work shall be pertormed in accordance with the permit and current City of Everett Design ard Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. 70LL FREE NUMBER 817 r <br />4. The contractor must meet with the Public Works Inspector to discuss potentiai drainage routing prior to beginning <br />the project. CALL RANDY ALLEN AT 425-335-7403 <br />5. I�stall erosion control measures as determinE�d by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankets. <br />6. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />7. No dirt, mud, rocks or debris to be tracked onto �oadway. <br />8. No building materials to be =.:_ckeci on sidewalkhoadway and sidewalklroadway to be kept clean and open for <br />pedestrian travel. <br />9. Pave driveway from the front property line out to the street paving. <br />10. May need to update sanitary side sewer depending on depth of existing pipe. Discuss with Randy. <br />=, ( ZZ Zcw( <br />a D te <br />_ '7 — �l�— <br />Date <br />as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicent hereby egrees to hold and <br />save harmless lhe City of Everett from eny and all claims for <br />damages. costs, expenses, or causes of action that may arise <br />because of instellation and maintenance of the improvement <br />or other righl-of•way use hereto applied tor end turther agrees <br />lo remave same upon notice irom the City end to replece <br />public property damaged thereby. <br />1F1��� ' ����/ <br />Signature af Appl' t Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DAiE PERMIT IS ISSUED AND THEREAFfER IS TO B'c DILIGENTLY <br />PURSUED TO COMPLETION. 1HI5 PERMIT MAY 8E CANCELLED BY TME C(TY UPON ANY STOPPAGE OF WORK ON iHiS PftOJECT OVER 90 DAYS DURATIOth <br />