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�� . <br />'�/ <br />�' �� ��� <br />PUBLIC WORK� PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />4/14/2010 <br />PW �004-019 � <br />Buildinq Permit #; C1004-002 <br />Planninp Reference #: <br />i� <br />Public Works Fee $: 5 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRE5S: <br />RIVERS BONNIE RAE OWNER <br />2906 16TH ST <br />EVER[TT WA 98201 <br />PHONE: 4252591905 PHONE: <br />TAX PARCEL ID # 00576432800300 SITE ADDRESS: 2906 16TH ST <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION-BEDROOM, STORAGE <br />PERMIT CONDITIONS <br />1. All ca:ls for 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 Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Connect all rooflop downspcuts to the side sewer. <br />5. The contractor must meet with the Public Works Inspector to discuss potential dra��'.��e routing prior to W <br />beginning the project. - � <br />6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales; �3�� � E"� <br />,� ,.� , _. �. � ,-� ;— � :� � ::� �,,,� <br />swales or erosion blankets. -=� - � <br />7. Remove erosion control measures upon compietion of the project prior to fina FaPpr,ovabohtLle�.peur�it, p_� __ � <br />YT. i.-i n�� :_++ i i,._.. i`i <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. ��.� ;,-, �- �- ;� ;� <br />9. No building materials to be stacked on sidewalks and sidewalks to be kept cle�n and open for pedestnan travel. � <br />FOR PUBLIC WORKS INSPECTIONS CALL RANDY ALLEN AT 425 339-7403 � �" <br />,,� ;.�,-,;�.�r� 4 �{ jl <br />'"'l.r,.; I !I�1J <br />� <br />L�.��,��. <br />Date <br />�- �z- � � <br />Date <br />Constructed <br />_1 <br />�r. <br />�i�l� j�.MrL1f`]d-`J' LJ <br />'�=*i �y� �n � :-'- r. �n �.� c> a <br />r �r.�;� ����: ;�;�;�3 <br />-:-, <br />�= <br />,�, <br />�-• ° <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett (rom any and all claims for <br />damages, costs, expenses, or causes of action ihat may arise <br />because of installalion and mainlenance of ihe improeement <br />or olher right-of-way use hereto applied for and fuAher agrees <br />to remove same upon nolice (rom the City and to replace <br />public prope d r�laged thereby. <br />� �{� �� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY TH[5 PERDIIT MUST BE SfARTED WITHIN 180 DAYS OF DATE PERM1IIT IS ISSUED AND TIIEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEf70N. THIS PERMIT P1AY BE CANCELLED BY T}1E CIIY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />