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� <br />E � <br />PUBLIC WORKS PERMIT <br />City of Everett Pu ��c Works De p, artment <br />3200 ' r Street V�'���"��lOt:p�);{; <br />Evere , 98201 REG-1 <br />(425 257-8810 <br />�th��;:� r�o.ioo;ui�, <br />DatP: 3/22/2010 <br />Public Works Permit #: PW1003-013 <br />15:�b Buildinp Permit #; <br />��`�nninp Reference#: <br />r, <br />Public Works Fee $: <br />r,.ti... e. <br />��i q[ � W� <br />OWNER NAME AND AD6RESS � GRT�E APPL��f NAME AND ADDRESS: <br />KALYAN VIPIN K i1:;, P $4.50 <br />1025 52ND ST SE k IUOJIOJ <br />i ELEC a75.G0 <br />EVERETT WA 98203 TL �JSJ..�J <br />PHONE: 4252591068 �'��E� P►+oluE'�i.GG <br />nr- n <br />TAX PARCEL ID # 004029000U4000 SITE ADDRESS: 1025 52ND ST SE <br />DE9CRIPTION OF PROPOSED WORK: <br />NEW A'I7ACHED GARAGE <br />� <br />61003-01� �' <br />Jf.Ji <br />� � f0 <br />�D <br />$�.�- �- <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />'L. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifcations. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Connect all rooftop downspouts to the side sewer. <br />5. The contractor m�st meet with the Public WorRs Inspector (call Randy Ailen at 425339-7403) to discuss potential <br />drainage routing prior to beginning the project. <br />6. Install erosion controi measures as determined by the Public Works inspector, such as silt fence, straw baies, <br />swaies, or erosion blankets. <br />7. Remove erosion control measures upon completion of the project prior to fina I approval of the permit. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />�/ � <br />_�, .,'��,�..%h�Y- � -:�;�-/O <br />Ap v d for Const Dat? <br />� `�--t ����� S�/ �'_ � <br />FINAL INS CTION Date <br />Approved as Constructed <br />. �z���� <br />1'0 POSTI�IG? --- <br />� <br />� <br />� <br />� <br />h <br />z <br />0 <br />H <br />a <br />ACKNOWLEDGEMENT OF CONDITIUNS <br />The undersigned owner/applicant hereby ayrees to hold and <br />save harmless the City ot Everett from any and a�l claims for <br />damages, costs, expenses, or causes of actior� ihat may arise <br />because oi installalion and mainten.nce of the improvament <br />or other riohl-of•way use hereto a�alied for and turther agrees <br />to remove same upon notice from lhe City and to replace <br />public property damaged thereby. <br />U ��1 fl� D <br />Signa�ure of A plicant Date <br />WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DIUGENTLY <br />PURSUED TO COMPLEf10N. l"HIS PERMR MAY BE U+NCELLED BY THE CI1Y UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVEk 90 DAYS DURAT70N. <br />