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��� . <br />� � -_,. . ' <br />PUBLIC WORYZS PERMI'� <br />Ciry of Everett Pubi;c Works Department <br />3200 Cedar Street <br />EveretC WA 982C1 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />5l2/2014 <br />PW1401-001 <br />Bwlding Permit #. C1405•001�v� <br />Planning Reference # SUB06-004 <br />Public Works Fee S 5 65 00 <br />Other 5. <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS� <br />REYKDAL GORDON P CHURCH Kt1THLEEN <br />8908 EASNIEW AVE <br />EVERETT WA 98208 <br />PHONE: 4253372429 PHONE: 4253375404 <br />TAX PARCEL ID # 28053000401200 SITE ADDRESS: 12604 18TH DR SE UNIT 2 <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WC�RKS FOR NEV'J HOUSE <br />Ind�aliv �ssued �n error as 12630 18Ih pr SE <br />SUB05-004 THOWIPSON SU <br />PERMIT CONDITIONS <br />1 All calls for inspection snall be made 24 hours in advance <br />2 All work shall be perforrned n accordance with the permit and curren; G!y o' Everett Design and ConstrucPon Stardards <br />antl Specificahons <br />3 Cail Locauon Underground Service 48 hrs before you dig TOLL FREE NUMEiER 811 � <br />4 Connect side sewer per City Standard x's 601. 602 504 T ' <br />5 Connect rooftop downspouts to the dra�nage sys!em prov�ded for this lot m � k�� <br />6 Ins;all e�osio� coniral�rf+�esures-es-de4e+m�ned tr; �the Pabhe Wor'Icsir>s'pectvr' Sach assill f�^itE,'S1!'d�ftUa�es� 0" I�' � <br />_, � <br />swales orefO510R��1.'1iS91�.c�av»=e-cnur_cncnaT-�?.c�+,-••pzx�rnrr�a�.c�rr�-•�-cm�. ,�, <br />7 r.11 excavated r,s� e•�tj tcon to�rrd�tl�.�;de:�lk`�d dr e. a�s�a�,�f'Ime haa1�8 t�an a��'�✓2����tt�d s�t� �, ✓ <br />No wasGng of maist�Bl �d�{b�'J�d On Ih�S bJ�ldi�g 10�+ � �''' �� ��" c T� T r'-- � � M <br />8 No dirt, mud, rocks or debris to be tracked onto roadway r � o ,., t, ^ <br />5 No bwlding matef�is to be stacked on sidewalklroadway and s�dewalk/roadway to be keot clean and open fo7 �, r��` <br />pedestr�an iravel �� � '~ <br />10 Ad�ust water meter box 1 above sidewalk grade �I�;[ <br />L�7 � - C <br />Your Puthc bVork53r� ec!or is Cl�ff I.� dm�l C�IIJt25-3�39-7q0A for any q:�stip`Rs an 1�/o��rjspec��qr�5 �,�, r <br />(-' � «, ...r. i. ... ". c� i_.i r? . c u. . �r. .:� r. �� r_� ��. t. �.� . t-- �-- r. w i� <br />r� _� r.� o.i. F. :c� ib c. �n � c r o�e. . as. ra rb c� �•� ,�. �l o N. ss'. r— r�� ¢> > <br />.-u C� c_� �'� C�1 s � '1 A�T� �C �1 G G. G G� V"I � R. J- Ge ��-0• L�. O b C� �] � <br />H r C� C'� L� Ce �_ • • O; • • O n!�.] • !�p O Cs C. Q CJ �> f�. C�1 f7 0�- fJ i� <br />DOc_+Gi 1.. ��•J �+- iJll:�G �b=.�]f ��� O�Or�.�...�8� t.. O� V11� `� T •/� <br />� J` <br />r—• i � � <br />��//,/ �"-s�� <br />Npprove Zor Construchon Date <br />Date <br />as Constructed <br />-zz <br />ACKNOWL[DGEM[N7 OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless Ihe Gty of Everett hom any and all claims tor <br />damages, cvsts, expenses, or causes o( acbon ,hat may arise <br />because of installa!ion and maintenance o( Ihe improvemeni <br />or other nghFo6way use hereto applied for and furiher agrees <br />to remove same upon noUce Irom the Cdy and to replace <br />public property darnaged thereby <br />��e �G�/%r�S zz-�i� <br />S�gnature of Apphcant <br />Date <br />CdOFK nUTHORI?FD �V THIS'[lih'IT h1U5T GE STARTf.D l'lRHIH 190 DAY'S OF DATE P'eRMfT IS ISSUED A�tiD TH[REAFTCR IS TO 9t U[LIGEfJiLY <br />PJFSUED TO COr4Pl ET7C�1. lH'S P[R �'U'•1AY 9[ CA�CEILED BY ; HE CI1Y UPOPI ANY STOPPAGE OF N:ORK ON THIS PROJECT OVER 90 DAYS DURAl10N. <br />i W <br />J�i <br />