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T T.���.��?T= <br />rs:_��.. cwLG' <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street 1l� ') : � ' + , <br />Evereft; WA 98201 ��i;- <br />(425) 257-8810 <br />.� I.i� ._.'.�';.!��.��. <br />Date: 10/30/2009 <br />Public Works Permit #: PW0910-027 � <br />�.;,�, Buildinq Permit #; <br />��"��''pl�nninq Reference #: <br />I:i . <br />Public Works Fee $: <br />nther $� <br />C0910-011 <br />� <br />$ 50.00 <br />APPLIF . T NA�9E AND ADDRESS: <br />OWNER NAME AND ADDRESS: P�_ <br />AKBAR A M �- 1+L:u_ :"1��.�r;,i5 <br />5114 104TH ST SW � ;ii=i:i� �1�'�.i�'I <br />,�,, ; <br />' �'r�', ;;.; ._.. <br />MUKILTEO WA 987_75 _ ,,, ;, _'; �.;' � <br />PH ON E: 4257508833 PHGN E:; ,",:� <br />TAX PARCEL ID # 00578200000300 _ SITE'qDDRESS: 8509 STH AVE W <br />DESCRIPTION OF PROPOSED WORK: i: " r;i.., uZii-:.. �`.[i <br />ADDITION & GARAGE CONVERSION FOR BOAFDING HOUSE ''� <br />Change o( Use Approved for Roominghouse - Approved for 7 bedrooms only. Landscaping needs to be inspected prior to <br />final occupancy. Parking lot must <br />PERMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be per(ormed in accordance voith the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. This work is to be done so as not to imp2ct the adjoining properties with stormwater runoff; this may include <br />installation of a small sullmp along the south side of the property. <br />5. Parking lot drainage to be sloped to the north into the existing catchbasin <br />6. Keep city streets clean at all times <br />6. Provide any erosion control as directed by the Pubtic Works inspector (Cliff Lindman, 425-339-7404) <br />��C� �aSTING � �' � � � � <br />q. <br />f�l������ % .�� % <br />pA proved fur Construction Da e <br />Date <br />as Constructed <br />%d <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underslgned owner/applicanl hereby agrees to hold and <br />save harmless the City of Everett (rom any and all claims (or <br />damages, costs, expenses, or causes of action that may arise <br />because o( inslallation and maintenance of lhe improvement <br />or olher right-oi-way use hereto applied for and further agrees <br />to remove same upon nolice from the City and to replace <br />public p� perty damaged th�reby. <br />� �/ <br />__.-�;t; �o �e ��. <br />Siynature of Appl ant '� Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEReAFfER IS TO BE DILIGENTLY <br />PURSUED TO COt4FLE110N. THIS PERMR h1AY OE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />