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PUBLIC WORF(S PERMIT <br />C��ty of Everett Public Works Deoartment <br />, 37.00 Cedar Street <br />[verett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />!1[YKDAL GORDON P <br />8908 EASTVIEW AVE <br />EVERETT WA 98208 <br />PHONE: 42�3372429 <br />AX PARCEL ID # 2fi053000401200 <br />DESCRIPTION OF PROPOSED WORK: <br />PUBL!C NJORKS FOR NE'fJ HOUSE <br />(��t1E <br />Public !':�orks Perm ; :t <br />Bwldinq Permit it; <br />Planninq Re(erence # <br />j!1;2014 <br />PW1405-004 <br />C 1405-00?_ <br />Public Works Fee 5. S 65 00 <br />Olher 5: <br />HPPLICANT NAME AND ADDRESS: <br />PHONE: <br />SI7E ADDRESS: 12oC6 18TH DR SE UNII 3 <br />SUB06-004 THOMPSON SU <br />PERPIIIT CONDITIONS <br />1 All ca'Is for �nspecl on shall be made 24 hours in advance <br />2 All work shall be performed in acrordance wdh ;he perm�t and currenl Cty of Evereft L'es�q� a�d Cons:��clion <br />and Spec�ficauons <br />3 Call Localion Underground Serwce 48 hrs betore you dig TOLL FREE NUMBER 811 <br />�: Connect s�de sevrer per Cily Standard ;: s 601, 602, 5G4 <br />5 Connect rooftop downspouts to the dramage sys;em provided for this bt > <br />6 Instali erosion conU�hmeasures as-deterrnined by�the Pnbhc Wbrk5�^spectar"'5dth as-Silt fE�t1C�,'Stfa�•l6aie� <br />5',t'd�25, Of CfO510f�1�1'�f1k8�S, e� a cn „_c s a� cn rr� a. -" r c-� -.,, �, c� ss :- cn cn a�. c� v�'^ -e m-., „ <br />r t _. c r�.i r x� �: m r._ c r• r f-- -�. v-< m L v r m r � _ <br />� All excavaled �(er� (�ctg (eunZ1�U�E3,�;de��lk' �'�s,' dr�ua�:�a sheN i�� ha�tYP(�n 5d�D6�Cu��f;a�tl'ed si(e <br />� ._: <br />No v:ast�ng of m2�e'rial ie>a`��wed on this building lo� � z" � � U' � c � � <br />& No dirt, mud. rocks or debns lo be tracked onto rcada�ay � � � <br />9 No buddmg mate�ls ro be siacked on sidewalk/roadway and side�valk/road�vay fo be keot clean and open fdr <br />pedeslrian travel .� <br />1 D Ad�ust v✓afer meter Uox 1" above sidewaik grade <br />��; � : <br />Ycur P.iblic :^/ork�ii�ector is CJiH L�dma+i C��I%b35-�39-74p�} for any qi;Cs(lq�tS an�F;inspect�qn�,'�' n. <br />c. � � . a �. <s. r .� i.. `. � r. �.n r- � t� <a. s n.s �`. r,..l r,� _- G, c.. i• � �— � i m a <br />- � �� r.� r � � n r r. -. � n ._. i '. � ,p rv �.. .�. ro . ._ , ui .� ."'a . � • -' i-' - , c�, �.t <br />-•`.auo�nc.nr..00<-_,�.`�i�.: �po: oc�:•i�r.To„n-.i• r�.�_ <br />c-' • • _ �. u- r� o 0 o r� �� �.-i : . -. r.� <br />=. CJ : � � �� <' �� �� u �n � .. _ ., . � _ _ .o ..-. , _. �co i . = c� �_ � c.. <br />�'� POSTIN� '�`// / � <br />i/ <br />��� -` 1 � `� -1 ��! <br />Approvetl tOr Consir�ction Da�e� , <br />'ECTIO�Y'' Date q <br />as Construc'ed / ��� <br />Slardards <br />ACKNOWLEUG[��iEfJT O` COt101I IONS <br />ihc undersigned o�vnerlappliwnl l�eieby ayrees to hold and <br />save harrn!ess the Gty o( Everetl from any and all cla�ms for <br />damages, costs, expenses, or causes of act�on Ihat may ar�se <br />because of �nstallation and maintenance ol ihe irr.provemenl <br />or olher rghl-of-vray use herelo applied for and lurther agrees <br />to remove same upoc nohce from Ihz C�ty and to replace <br />public properly damaged ihereby <br />��'� ����,% 5 z� /y <br />SignaWre of Applicant Dale <br />`,�02F: �WTHCRIZFD 6V THIS r'ERi 1IT 61UST (?� STAR?ED A':IT'•1!P! :E3G D�1Y5 CP p�f[ l-tf2N1T !S i55Ui D A^1D �ii+PRE�^T _R IS l0 BE GIl IGE�11 � v � <br />PI,RSUED TO CO'�1PLF110'1. 'i1f15 P[R^4!i '�'�Al' Bf U^.CEI LE` HY l HF CITY UPOP; AI.Y S 1C'P�( � Of� 'i.C2: C:: P{K PEQJECT OVER �D DAY'S DU�tAT10p. <br />I � <br />