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i';� <br />EE-TT <br />PUBLIC WORKS PERMIT <br />City of Everett Public Wnrks Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 7/1 /2010 <br />Public Works Permit#: PW1007-002 <br />Buildinp Permit#; B1006-047 <br />Planninp Reference #: rJ <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />OSTERBERG STEPHEN M <br />933 WOODLAWN AVE <br />EVERETT Wq 98203 <br />PHONE: 4253275176 PHONE: <br />TAX PARCEL ID # 00403000200100 SITE ADDRESS: 933 WOODLAWN AVE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW GARAGE <br />PERMIT CONDITIONS <br />1. Ail calls for inspection shali be made 24 hours in advance. <br />2. Ali work shall be pertormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. The conlractor must meet wilh the Pubiic Works Inspector (call Randy Allen at 425•339-7403) to discuss potential <br />drainage routing prior to beginning the project <br />5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, , <br />swales, or erosion blankets. <br />6. Remove erosion controi measures upon complelion of the project prior ro final approval of the permiL <br />7 All excavated material from foundation, sidewalk, and driveways shall be hauied to an approved, permitted site. <br />No wasting of material is allowed on this building lot <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />Tn �nnTiun ,p ,; ,p .�. .. <br />I V f VU l ll�\3____ f__�__ :', ,:• ", <br />�.., �; r `F". <br />�i`I � _ f�T i� �l <br />i �j� <br />—/ 1C:'! E!"�CL�� � c`� �2–/(J <br />Appro d for Construclion Date <br />�'��r� ��ti►��»��� J 13�-/a <br />FINAL INSPECTION Date <br />Approved as Constructed <br />w <br />►F <br />� <br />� <br />ti <br />z <br />0 <br />� <br />0 <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action lhat may arise <br />because of installation and maintenance of the improvement <br />or other right-ot-way use hereto applied for and fuAher agrees <br />to remove same upon notice from the City and to replace <br />publiqproperty da �ge thereby. <br />� <br />/ <br />. � l �/�'` Sl'i3 -id <br />SignatureotApplicant Date <br />� <br />WORK AUTHORIZE7 BY THiS PERPiR h1U5T BE STARTED W ITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COPiPLETION. TI115 PERPIIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJER OVER 90 DAYS DURATION. <br />