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�;; PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />�'� Everett, WA 98201 <br />(425)257-8810 <br />OWNER NA�AE AND ADDRESS: <br />BLOODGOOD DON 8 VAL <br />11401 3RD AVE SE #R-5 <br />EVERETT WA 98208 <br />PHONE: 4254226242 <br />'AX PARCEL IL� # 2904360031040 <br />DESCRIPTION OF PROPUSED WORK: <br />NEW HOUSE (GARAGE NOT INCLUDED) <br />Date: <br />Public Works Permit #: <br />Buildinq Permit #; <br />Planninp Reference #: <br />Pi� �ic Works Fee S: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />OWNER <br />1 /28/2009 � <br />PW0901-015 <br />Guy01-014�� <br />$ 25.00 <br />PHONE: <br />SITEADDRESS: 4631 SE4HURSTAVE <br />LOT 4 OF SHORT PLAT <br />1202-5�,Q$- - <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 the permil and currenl City of Everett Design and Construction Standards <br />�nd Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Connect side sewer per City Standard #'s 601, 602, 604. <br />5. Connect rooftop downspouts to the drainage syslem provided for this lot. �. C;� <br />6. The contractor must meel with the Public Works Inspector to discuss potential drainage routing prior to J �_ �,,� <br />beginning the project. �' ' U <br />7. Install erosion conlrol measures as determined by lhe Pubiic Works inspector{sueh�s-5at�e�cH,`stra�!:Cales,_ <br />�r; �,, � �„.-,.. �_ a <br />swales or erosion blankets. _ �' ' '�:' <br />B. Remove erosion conlrol measures upon completion of the project prior to final approvOF-af lhe permit. Y C <br />9. No dirt, mud, rocks or debris to be tracked onto roadway. ,_� -;� <br />10. Pave driveway trom the front property line out to the street pavVng. � � "� - <br />11. A sprinkler system is required for this building in compliance with requirements a�NFDA Standards 13D. T'�re' ,L,C <br />appears to be an existing'/." service for this house installed previously. This may nc�be adequate lo power the <br />sprinkler system. Please contact your Sprinkler System Designer to confirm. .,, ,_ i ;,- ,yE <br />, . � ,,: ; .., .., _ _ � <br />�:. ... .<� .,. �-• ,� �„ <br />FOk PUBLIC WORKS INSPECTIONS CALL RANDY ALLEN AT 425339-7403 _�'; ���-;;_;,�; � o r i: i,C <br />� �Ul: .- _ .3`s'"`^�^ . . <br />- - ,��___, <br />_� _�� <br />,; <br />,-- ,_.� <br />,�,,-� (��/j L,c� <br />l�! �"%14. ! ��.__"' ___(_. <br />ACKNOWLEDG�MENT UF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees lo hold and <br />save harmless the City oi Everett (rom any and : il claims (or <br />damages, costs, expenses, or causes ot action that may arise <br />because oi inslallation and maintenance of the improvement <br />or other right�of-way use hereto applied for and turther agrees <br />to removR same u n not' trom the City and lo replace <br />public prb d m ed e y. <br />lv Z' ' - <br />Signa reotApplicant Date <br />WORK AUTHORIZED BV THIS PERMIT MUST BE SfART[D WITHIN 180 DAYS OF DATE PERMiT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COh1PLE�lON. TNIS PERMIT MAY BE UNCELLED BY THE CITY VPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />