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,:� <br />� <br />�'.,-� CP� �U <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200`QedarStreet '!; "�_��,�'�''��Oi�) <br />Everer �/A 98201 ';�L-1 <br />(425) 257-8810 <br />rtk�dT ��o.iuO�Qii <br />Date <br />Public Works Permit #: <br />11:0'l Buildinp Permit #; <br />02F''�� <br />�� �nninq Reference #: <br />2/23/2010 <br />PW1002-024 <br />C1002-0? 7 <br />Pubiic Works Fee $: $ 25.00 <br />(�iher $• <br />",`� i� ,� <br />OWNER NAME AND ADDRESS: 1 I'LDf, APPF;(CqNT NAME AND ADDRESS: <br />CITY BANK HOME df�RS 7 L� C �G.5G <br />po sox s�oo� � u Il �' � 1 HECH 512�.G� <br />i f'LNG rolaU.O�i <br />LYNNWOOD wq 98046 1 D4IVE �25.G0 <br />� <br />PHONE: 4257455933 � u ,i , PHO�EcOIS <br />7AX PARCEL ID # 01U69700000800 1 ��g ��IJ SIiF�Aq[�ESS: 12427 17TH AVE SE <br />�N t; ?�4:,0. <br />DESCRIPTION OF PROPOSED WORK: T� :�� � l�'�f. _�F� <br />NEW HOUSE - BASIC 339 (2042) CHF�F� $r„1�;;,�� <br />LOT 8 SOUTH LAKE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance witn 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 rooftop downspouts to the drainage system provided for this lot. <br />5. The contractor must meet wiG� the Public Works Inspector (call Cliff Lindman at 425-339-7404) to discuss <br />potential drainage routing prior to beginning the project. <br />6. Install erosion control measures per City of Everett Standards for smali parcels <br />7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is allowed on this building lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />9. No building materials to be stacked on sidewalk/roadway and sidewalWroadway to be kept ciean and open for <br />pedestrian travel. <br />P�? ��:s�ali��ia ` �` <br />��/ , <br />/:i�"'Ct�-�_ .2-.2�/.�(, <br />qpproved for Construction Date <br />�ECTION Date <br />as Constructed � — �� —�/ <br />ACKNO\NLEDGEMENT OF COYDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry of Everell from any and all claims for <br />damages, cosis, cxpenses, or causes of action that may arise <br />because of installation and maintenance o( lhe improvemenl <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice (rom the City and lo replace <br />publ'c pro e y dama ed lhereby. <br />� Z,C�,�'�v �-'\l 3 /, ( � o <br />Signa�ure of Applicant Date <br />'NORK AUTHORIZED BY THIS PERhiR h1UST 6E STARTED WITHIN ISO DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COhiPLEfION. THIS PERMif MAY BE CANCELLED BY THE CffY UPON ANY 5TOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />