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3r � <br />��"�iz r <br />PtiBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200�edarStreet �11-�`� �����W�� <br />Evere�'p�Til�4 98201 REG-i <br />(425) 257-8810 <br />F'ERMIi �!o.l"u01004 <br />Date: 1 /20/2010 <br />Public Works Permit #: PW1001-013 � <br />1;i:�2 Buildinp F'ermit #; <br />��,��nninp Reference #: <br />Public Works Fee $: <br />(1}hor Q• <br />C1001-004 <br />J- <br />$ 25.00 <br />� _..._. . <br />OWNER NAME AND ADDRESS: � HLUG. AF�I,{�l�J NAME AND ADDRESS: <br />SEIDER CHARLES 1. HEC�4 roi0.00 <br />1142 2ND ST I F'LAG g120.W <br />1 DRIVE g25.00 <br />MUKILTEO WA 98275 1 S C 84.� <br />PHONE: 4253477198 � P►+olf�iG�4 <br />TAX PARCEL ID # 29043400405500 1 S'�(S D[U SI��,��ESS: 2933 49TH ST SW <br />DESCRIPTION OF PROPOSED WORK: 1 IJATEF; �.iO.IXI <br />TL �5„Ol._�.5 <br />NEW HOUSE I�HFCK �5•2U1.65 <br />LOT 1 OF SHORT PLAT <br />PERMIT CONDITIONS t5 i A I t5) <br />1. All calls ;or inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specificatio�is. <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 system provided for this lot. <br />6. The contractor must meet with the Public Works Inspector (call Randy Allen at 425339-7403) to discuss potential <br />drainage routing prior to beginning the project. <br />7. Install erosion control measures as determined by the Public Works inspector, such as silt (ence, straw bales, <br />swales, or erosion blankets. <br />8. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />9. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is allowed on this builiing lot. <br />10. No dirt, mud, rocks or debris to be tracke i onto roadway. <br />11. No building materials to be stacked on rcadway and roadway to be kept clean and open for pedestrian travei. <br />12. Adjust water meter box 1" above sidewalk grade. <br />13. Remove and repiace curb, gutter and sidewalk as per City of Everett Standard Pian #'s 305A & 306 on this <br />proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or <br />damaged area must be replaced). <br />14. Pave driveway from the front property Iine out to the street paving. <br />E l3 'f �1a`3��Etl� �— �'j - I � <br />w <br />H <br />►..i <br />� <br />� <br />0 <br />�'7 <br />z <br />� <br />E"� <br />� <br />0 <br />�1r <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City o( Everell from any and all claims for <br />damages, costs, expenses, or causes oi action that may arise <br />because of installation and maintenance of Ihe improvement <br />or other righl-oi-way use hereto applied for and turther agrees <br />to �emove same upon notice from the City and to replace <br />public property damaged thereby. <br />��,« ,/ %Y. o��� A �1/� N, 27� ZO lO <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DIl1GENTLY <br />PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />