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� <br />�. <br />� ,_. . <br />PUBLIC WORKS PERMIT <br />G!y o( Everett Pubhc Works Department <br />3200 Cedar S«eet <br />Everett, WA 98201 <br />(425) 257-d810 <br />OWNER NAME AND ADDRESS: <br />REYKDAL GORDON P <br />8908 EASTVIEW AVE <br />[VERETT �/�/A 98208 <br />PHONE: 4253372429 <br />-AX PARCELID# 28053000d01200 <br />DESCRIPTION OF PROPOSED WORK�. <br />PUBLIC V'IORKS FOP, NEW HOUSE <br />PERiVIIT CONDITIONS <br />Date 4/B/2014 <br />Pubhc Works Permit # PW1404-007 <br />Bwldmq Permil #, C1404-007 <br />Planninq Reference #: <br />Public Works Fe� $: 3 65 00 <br />Other �: <br />APPLICANT NAME AND ADDRESS: <br />CHURCH KATHLEEN <br />PHONE: 4253375404 <br />SITE ADDRESS: 12507 18TH DR SE <br />SUBOo-COa THOMPSON SU <br />' All calls for �nspect�on shall be made 24 hours m adva�ce <br />2 All work shall be oertormed in accorclarce with the permit and current Gty o` E:eretl Desian and ConstrucLon Standards <br />and Specdications <br />' Cal! Location Underground Serv�ce 48 hrs before you dig TOLL FREE NUMBER 811 <br />� Connect side sewer per City Standard �'s 601, 602 604 <br />5 Connec; rooRop downspoufs to Ihe drainage system p�ovided for th�s lot c` <br />G Inslall erosion control measures as determined by the Public Works inspector�such-Bs'sitt fence`strav� bales;, <br />sv�ales, or erosion biankets � � � -, - � -* �-= �� � � � _�- r -� =� �. - <br />CJF-.•r.r-:' Y..� —�.i�� - <br />% All excavated matenal from foundation, s�dewalk and dnveways shail be713auled to an �p�roved �"ermitted s�t� <br />m -r. r_� <br />No wasting of material is altowed on Ihis bwlding lot �� •_ '=, _ <br />8 No dirt mud, recks or debris to be tracked onto roadway � <br />9 No bu�!ding materials ro be stacked on s�dewalk/roadway and sidewal�cJ�roadtvay to be kept clean and open for <br />pedestr�an travei r� <br />1C Ad�ust water meter box 1' above sidewalk grade ^ <br />U1 <br />vour Publ�c Works Inspector �s Clif! Lindman Caii a25-339-74G1 for a�y questions�a�d(ol inspections - <br />�,`,i. �4��1°��`-'£('`.i��2..�r �.i <br />��.� �, i � i_ x ,i <br />. �!�i . . ��, .. ... _ .. �i <br />TO POSTING ��'�`�%' � <br />��� , ` _�n--�v <br />Approvea for Construc4on Date <br />i _-� � / <br />Date <br />Approved as Constructed <br />;,cKriS�:'d�Eoctra�n�r or Gor��uiTibrts <br />l�he unde�s.gned ovrncriBpplicani hcreby ayrces to hoW �ind <br />save harmless Ihe Gty of Everett from any and all ciauns fcr <br />damages. costs, expenses, or causes o( achon Ihat may arse <br />because o( mstal!aUon and m2inlenance of the improvement <br />or other righ(�ol-way use hereto applied for and further agrees <br />lo r� .�ve same upon nohce from Ihe Gty and to replace <br />puq!ir. pry�%rty damagecJ.lj�ereUy � n <br />�e ar App'i <br />Date <br />�/ <br />/`� <br />'.�ORK r:UTMGR]�EU GY THIS PFR'•ili- �IUST BE STAR7LD l'lRHII� !60 DAYS Of" DATC/o[R'41T IS ISSUFD A�JD T4E1?E�FTCH 15 TO �E DILIGE^:TLY <br />PURSU:D TO CO'1PL.FTION. Ti!IS PFRI•1IT'•1AV �E CAKCFU_ED 3� iHE Cll�' U�0^1 P':Y STCPPAGI= OF 1':GRK ON TH!51'RO;ECI OVER 90 DAYS DUHATIO^. <br />� �� <br />