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PUBLIC WORKS PEltMIT Date: 6/23/2010 � <br /> Public Works Permittk: PW1006-024 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinq Permit#; <br /> ���� <br /> Everettr WA 98201 Planninp Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPIICAN7 NAME AND ADDRESS: <br /> HIGGINS, SUSAN <br /> 3408 WAVE DR <br /> EVERETT WA 98203 <br /> PHONE: PHONE: <br /> TAX PARCEL ID N 00571700600700 SITE ADDRESS: 3408 WAVE DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONNECT SURFACE INTERCEPTOR IN ROW <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. AII work shall be performed in accordance with the permit and current City ef Evereri Design and Construction Standards <br /> and Specifications. <br /> 3. Call Localion Underground Service 46 hrs before you dig. TOLL FREE NUMBER 671 <br /> 4. Restoration to be equal to or better than existing conditions. w <br /> 5. Traffic control per currenl MUTCD Standards. <br /> 6. The contractor must meet with the Pub�ic Works Inspector(cali Randy Allen at 425-339-7403) to discuss potential � <br /> drainage routing prior to beginning the projecl. C/� <br /> 7. Install erosion conlrol measures as determined by the Public Works inspector, such as silt fence, straw bales, m <br /> swales, or erosion blankets. <br /> 8. Remove erosion control measures upon completion of the project prior to final approval ot the permit. 0 <br /> 9. No dirt, mud, rocks or debris to be iracked onto roadway. <br /> 0 <br /> � <br /> I V nn�-,�in ,I/� cS�i,L . /uC�^c,� ar <br /> r <br /> ACKNOWLEOGEMENT OF CONDITtONS <br /> The undersigned ownerlapplicant hereby agrees lo hold and <br /> save harmless Ihe City of Everett irom any and all claims for <br /> damages,costs,expenses,or causes o1 action thal may arise <br /> � � /� because of installation and maintenance of lhe improvement <br /> ,_ � '/5,���Z � ,73.jO or other right-obway use hereto applied for and further agrees <br /> �-� to remove same upon notice from th City and to replace <br /> Appr e for Constr i �niJ Date public prope y damaged thereby. � <br /> �'`� ='\ ' <br /> _ - L ,���� j� 23 �-1c� � % �� � <br /> INAL INSP .TION Date ' � <br /> . <br /> Approved aS Constructed Signature of Applicant Date <br /> . <br /> IVORK AUTHORIZED BY THIS PERMR MUST BE STARTED WRHIN I80 DAYS OF DATE PERMiT IS ISSUED AND THEREA P IS TO BE DILIGF.NTLY <br /> PURSUED TO COMPLtT70N. Tl115 PERI�IIT MAY BE V+NCEIIED BY THE CIT'UPON ANY STOPPAGE OF WORK ON THIS PROJER OYER 90 DAYS DURATION. <br />