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Date: 11/8/2011 / <br /> PUBLIC WORKS PERMIT public Works Permit#: PW1111-010 <br /> 't City of Everett Public Works Department <br /> �y� _ �, 3200 Cedar Street Buildinp Permit#; C1111-003� <br /> �, Everetl, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: $ 25.00 <br /> Other $: <br /> OWNEH NAME AND ADDRE55: APPLICANT NAME AND ADDRESS: <br /> JOHNSON BRET&JULIE <br /> 5003 SEAHURST AVE <br /> EVERETT WA 98203 <br /> PHONE: 4252585018 PHONE: <br /> TAX PARCEL I�# 007811000024v0 SITE ADDRESS: 4931 SEAHURST AVE <br /> DESCRIPTION OF PROPOSED WOftK: <br /> HOUSE ADDITION AND REMODEL <br /> PERMIT CONDITIONS <br /> t. All calls(or inspection shall be made 24 hours in advance. <br /> 2. All werk shall be performed in accordance with Ihe�ernit and current City of Everett Design and Conslruction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you �,3. TOLL FREE NUMBER 817 <br /> 4. The conlractor musl meet with the Public Works Inspecror lo discuss potenlial drainage routing prior to beginning G i�� � <br /> the project. Call Randy Allen at 425-339-7403 �- �-���-•'�'-' �i x) <br /> 5. Install erosion control measures as determined by the Public Works inspector, sueh as_silL-fence,�t�aw�bales-' ' � <br /> swales, or erosion blankets. � � "���" " (/� <br /> 6. Remove erosion control measures upon completion of lhe project prior to fnal apptoval'of the permit. F; � <br /> 7. No dirt, mud, rocks or debris to be tracked onlo roadway � „�,_ O <br /> 8. Side sewer may need updating due to proposed addition � `" ^� ' <br /> �, �- .� � <br /> v .� '� <br /> iT �; <br /> ��.'� .s. i-' O <br /> L�� 1--` K� ���~K� [�' l <br /> Q'.., in 1-� F+r�!`.]1-+ <br /> _� N�--<s.��r�C��n � <br /> �.���I_`��r-000�J � � <br /> 1 <br /> t`.;Ulc:.c,�"%s�t�;o; �� � <br /> ��•�.> � <br /> -tir.i � � <br /> C <br /> ��T <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedappticant herehy agrees to h�ld and <br /> save harmless Ihe City of Everelt Irom any and atl claims 1or <br /> Aamages,cosls,expenses, or causes of action Ihat may arise <br /> because of installalion and maintenance oi�he improvement <br /> �( � �( � or other right-obway use hereto applied for and(uriher agrees <br /> A ro r Construdi ate to rem ame upon notice trom Ihe City and lo replace <br /> PP pu c prop rty maged themby. <br /> ��� � `_ � � �Z 7.8 {) <br /> INAL INSPE ION Date <br /> Approved as onstructed Si �at e o piicant Date <br /> WORK AUTHORIZED 6Y TNIS PERMR MUST OE STARTED WITHW t80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIUGEtJTLY <br /> PURSUED TO COMPIETION. TFIIS PERhtif PiAY OE UNCELIED BY THE CITY UPON ANY STOPPAGE OF WORN ON TH15 PROIECT OVER 90 DAYS UURATION. <br />