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. <br /> �r.;� , <br /> PUBLIC WORKS PERMIT Date: 10/5/2010 <br /> �i Public Works Permit#: PW1010-004 <br /> City of Everett Public Works Department <br /> 3200 G�tlar Street iu�?-�u10(�F'I i 12:5`v Buildinp Permit#; C1010-003� <br /> Everett('i�i.982o1 ;�f�. ����ninq Reference#: `� <br /> (425) 257-8810 LI i <br /> F'ER�Ii 1=�,-�.iu;�;i!u; Public Works Fee$: $ 25.00 <br /> � • „ <br /> Other $: <br /> OWNER NAME AND ADDRESS: i H�l'G. APF�}I�iN�NAME AND ADDRESS: <br /> NELSON BRENT&ALUSON � �� � 54.5G <br /> 1 MErH ii�0.�� <br /> 24 105TH ST SE#A 1 F���� "ri�,UO <br /> EVERETT WA 9820 1 DF'IUt ='��.� <br /> PHONE: 4253476363 CNR�LLL L . ..P.H�NE:..... <br /> TAX PARCEL ID# 00400500000200 � F��};� SITE A�;pI�SS: 11702 25TH AVE SE <br /> C�iRpLL! I ................. <br /> DESCRIPTION OF PROPOSED WORK: 1 F��hi� - y4Q,UU <br /> NEW HOUSE ]. F'I_B3 g14�1.00 <br /> LOT 2, SHORT PLAT 1202-28-07 �f 1O100Uo <br /> 1 ;EUEf; �7n.C� <br /> l ',"r�; DFu �r�4.G0 <br /> h i.O1GQ01 <br /> ;:_�;�. ::,�.�.uu <br /> PERMIT CONDITIONS i 5 i; $4.� <br /> 1. All calis for inspection shall be made 24 hou�s in advance. fn pq,jg <br /> 2. All work shall be performed in accordance w�th��.�ermit and curren��,���f Everett Design and Construc!ion Standards <br /> and Specifications. i �t,� ��� <br /> 3. Cali Location Underground Service 48 hrs befo e,1/n4 dig. 'f�CL F ,��MBER 611 <br /> �,f�l�_!:!.. �:r`.�IuJj <br /> 4. Site improvements required by the short plat to be constructed per approved short plat plans W <br /> o. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 6. The contractor must meet with the Public Works Inspector(CALL CLIFF AT 425339-740A)to discuss potential � <br /> drainage routing prior to beginning the project. C/� <br /> 7. Install erosion control measures per City of Everett Standards for small parcels �, <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. O <br /> 9. Pave driveway from the front property line out to the street paving. � <br /> z <br /> �,� 1-rVEl-v����Fi,�r ��'T' � si�� o <br /> �'/r'�j�G� yG'"'� �.�T�Sr�/�'C'T4X y � <br /> , �/�. � �G�% //Y/!'���'1/r=���TS ��' %/�/S� O <br /> s�-� ,�c�7-- I%c�G /-/T 7`"�/S i/i lr. w <br /> �-��q-// <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicaM hereby agrees to hoid and I <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes ot aclion that may arise <br /> � , ,; because of installation and maintenance of the improvemenl <br /> ` �`!i`����r'` /O�� �`; or cther righ4of-way use hereto applied tor and(urther agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date p�btic property damaged thereby. <br /> ���ii�' � � __ .\ ' � r <br /> � SPECTION Date ��`r- "�� '��'�'' �V l`�a'` � �� <br /> Approved as Constructed �' � G� '�� Signawre of Applicant ��a��3 j7ig <br /> WORK AUTHORIZED BY TH15 PERMR MUST BE STARTED WffHIN 180 DAYS OF DATE PERMTf IS ISSUED AND THEREA R IS 0 BE ILIGENTLY <br /> PURSUED TO COMPL[f10N. THIS PERMR MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PROJE OVER 90 DAYS DURATION. <br />