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PUBLIC �"�ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />� �"-`�' Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />LARSON DORI <br />5601 SUNSET LN <br />EVERETi' WA 98203 <br />PHON�: <br />AX PARCEL ID # 00471800001700 <br />DESCRIPTION OF PRCPOSED WORK: <br />BEDROOM ADDITION <br />t Dale: 5/26/2009 <br />Public vVorks Permit tF: PW0905-025 <br />Buildinp Permit #; C0905-010 <br />Planninp Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 5601 SUNSET LN <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be periormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specitications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 �--- <br />4. Connecl rookop downspouts lo the drainage syslem provided for this lot. _,.r� <br />5. The contractor must meet with lhe Pubiic Works Inspector to discuss potential drainage rouling prior lo begin�ing .� <br />.- �� ,_. �- .- �: ` f.i <br />the project. <br />6. Install e�c =ion control measures as determined by the Public Works inspeclor, such as piyt�sqqg����tales,; � <br />swales, or �sion blankets. � � � � � �' � <br />7 Remov� .osion control measures upon complelion of lhe projecl prior to final approvaln� lhe permiL �� <br />8. No dirt �d, rocks or debris to be tracked onto roadway. U1 ,.0 <br />9. No builc,. g materials to be stacked on roadway and roadway lo be kepl c:ean and open for pedestrian travel O � f,'� <br />n � <br />FOR PUBLIC WORKS INSI'ECTION, CALL RANDY ALL[N AT 425339-7403 <br />i9 <br />� <br />y:� FL'� <br />�' N�*1�b+N <br />,-- ro �, �, �, � :-. <br />�:;�n����� <br />� :�� :�osri�c �� �� � � � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless ihe Cily ol Everett irom any and all claims for <br />damages, cosls, expenses, or causes of action that may arise <br />because of inslallation and maintenance o( the improvemenl <br />or other right-of-way use hereto applied for and further agrees <br />I move same upon notice trom Ihe City and to replace <br />p b'c pr pe� y demaged thereby. <br />� 7- <br />Signature of A plicanl Date <br />WCRK AUTfiORIZED 8Y THIS PERh11T I•1U5T BE STARTED INRHIN 180 DAYS OF DATE PERh1R IS ISSUED A�lD THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COPiPLETION. THIS PERh11T h1AY BE CANC[LLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUMTION. <br />