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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />04;:7T 3200 Cedar Street <br />E( .2Wk6&TING SEP_—?004 <br />i <br />Date 02/21/2003 <br />Public Works Permit H PW0302-021 <br />Building Permit N C0302-026 <br />Planning Reference If <br />Public Works Fee S $ 25. 00 <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />ANDADORESSIJOHNSON LLOYD A AND ADDRESS: <br />4638 SEA14UST AVE <br />EVERETT WA 98203 <br />PHONE: 4 2 5 25 2 2 r. 9 PHONE: <br />TAX PARCEL I.D.0 PROJECTADDRESS: <br />00451402601500 1703 38TH ST JA&B <br />PROPOSED OF DUPLEX AND DETACHED CARPORT <br />PERMIT CONDITIONS LOTS 15 & 16, BLOCK 26 OF <br />FRIDAY'S 1ST ADDITION <br />1. All calls for Inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555 <br />4. Connect side sewer per City Standard #'s 601, 602, 604. <br />5. Connect all rooftop downspouts to the side sewer. <br />6. Install erosion control measures as determined by the Public Works <br />inspector, such as silt fence, straw bales, swales, or:erosion <br />blankets. <br />7. Remove erosion control measures upon completion of the project prior <br />to final approval of the permit. <br />8. All excavated material from foundation, sidewalk and dri,eways shall <br />be hauled to an approved, permitted site. No wasting of material is <br />allowed on this building lot. <br />9. Pave driveway from the front property lire out to the street paving. <br />roved for tructi/ Date <br />FINAL INSPECTION <br />Approved as Constructed Date <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 that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damae d re <br />`Signatuf§ of Appkant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />UJ <br />of <br />• <br />z <br />O <br />a <br />