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�� <br />���� '' _:`'L' <br />;�;, <br />PUBLIC ��RKS PERMIT <br />City of Everett Public Works Deparlment <br />3200 Cedar Slree! <br />Everett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />REYKUALGORDON <br />9420 31 ST AVE SE <br />EVERETT WA 98208 <br />PHONE: 4258761130 <br />AX PARCELID a 28053000401200 <br />DESCRIPTION OF PROPOSED WORK: <br />PUE3LIC WORKS FOR NEW HOUSE <br />In�h211y �ssued in erro� as 126?D 18th Dr SE <br />� Date <br />Public Works Permit # <br />Buildirq Permit #; <br />7/11i2014 <br />PW1407-015 <br />C1407-001 <br />Planninq Reference # SUBO6-004 <br />Public Works Fee 5. S 65 00 <br />Other S <br />APPLICANT NAME AND ADDRESS: <br />CHURCH ICATHLEEN <br />PHONE: 4253375404 <br />siTE aDDREss: 12602 ?6TH DR SE LOT 1 <br />THOMPSON SUf3006•004 <br />PERh91T CONDITIONS <br />1 AII calls for �nspechon shall be made 24 hours in advance <br />2 All work shall be performed in accordance �^rith Ihe oermit and current City of Everett Oes:gn and <br />and Specrfications <br />3 Call Localion Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br />Constr�.cticn Slandards <br />4 Connect side sewer per City Standard #'s 601, 602, 604. <br />5 Connect rooftop downspouts to the drainage system provided for this lot ;; <br />6 Install erosion control measures as determined by the Public Works inspector, such as sdt fence, straw ba!as, <br />swales, or erosion blankets i 7 � -- <br />7 All excavated material (rom foundation, sidev:alk and driveways shall be hauled to an approved, F�tm�tted`,��te <br />No wasting of material is allowed on this bwlding IoL " �' <br />8 No diri, mud, rocks or debns to be lracked onto roadway �; <br />9 No bu��ding materials to be stacked on sidewaik/roadway and s�dewalk/roadway 10 be kept clean anc�ypef�"ior <br />pedestnan travel � <br />10 Ad�ust water meler box 1" above sidewalk grade � <br />GT� <br />7bur Pubhc Works Inspector �s CIiH Lmdman Call 4�5-339-7404 for any queslions and/or inspectior�s (.s1 <br />�1 � <br />� <br />` ^� <br />t `'' <br />�'� QdSTIN('7 ��___. � �� � <br />J// <br />� " ���� ���� <br />Approved for Construction Date <br />�ECTION Date <br />as Constructed � `zg <br />� � � t J L - 1-� <br />-� �l .�_ <br />�] <br />Lrl <br />f" L•! <br />�CKNOWLEDGE�AENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees lo hold and <br />save harmless lhe City of [verett fwm any and all claims lor <br />damages, cosls, expenses, or causes of action Ihal may arise <br />because of installation and maiNenance of Ihe improvemen� <br />or other nght-ol-way use hereto applied (or and further agrces <br />to remove same upon notice hom th ity and to replace <br />public property da �aged Ihereby <br />. ✓— —.. _ 2 <br />Signature ot Applicant <br />Dale <br />�h'0t7K AUTI!OR1ZfD 3Y TH6 PER7•11T F7UST BF STA�4TED C,'RHW 180 DAYS OF DATC PeR�'�11T IS ISSU[D �^JD THEREAf7[R IS i0 (3E DILIGPJ � l.V <br />PURSUEU i0 COh1PL[110L'. THIS PEFh1Il l4f,1' LE CA!:CFLLED BY THE CITY UPON A'!Y STOPPAGE 01' N�ORK OV THIS PRO]ECT OVFE 90 DAYS DURATION. <br />