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PUBLIG WOFZKS �'E�RMI�T <br />Citi e( [verelt Publ�; Works Denartr•en� <br />3200 Cedar Street <br />Eve�ett `NA 98201 <br />!425)257-8810 <br />OWNER NAME AND ADDRESS: <br />REYKDALGORDON <br />25�08 EASNIEW AVE <br />EVERETT WA 98208 <br />PHONE 4253372429 <br />TAx PARCEL ID # 280530G04012C0 <br />DESCRIP�fION OF PROPOSED WORK: <br />PUBLIC `.NORKS FOR NE`N SWGLE Fni;q!LY D`:JELLING <br />Date <br />Pubhc Wor .s Permit # <br />Bwl ,mg Permit # <br />Plannir.� Reference # <br />3/21i2014 <br />PW1403-C30 <br />C1403-0ZO <br />Publ c Works Fee 5 S 65 OG <br />Other S <br />APPLICANT N,>ME AND ADDRESS: <br />REYKDALGORDON <br />8909 EASTVIEW AVE <br />EVERETT �/,//, 982C8 <br />PHONE: 4253372429 <br />SITE ADDRESS 12608 ' BTH DR SE LOT 4 <br />THOF�IPSON SU6DIVISION <br />PERh-11T CONDITIONS <br />' All calls fo! inspecbon shall be made 2G hours in advance <br />2 A' work shall be oerformed �n accordance with the permd and c,,aerl C�'y of Eve�e!t Design <br />and Soecdicahons <br />3 Call Locat�on Underground Service 48 hrs before you diq TOLL FREE NUMBER 811 <br />and Cons!�uct on S!ardar ;s <br />�� Ccnnect side sewer per Gty Standard # s 601 602, 604 <br />i; Cornect rooftop downspouls to lhe dre�nage system provided for th�s lot c� <br />6 Inslall eros�on contro� measures as determined by the Public WorRs inspector, such-as-sd1 tence-stravrbale.s; <br />s:: ales, or eresion blankets -� T� ^ �� u� -' �T 'T""'° �� '�?;:: - � <br />t") r' r_r 9.�, r�„ -- _. <br />� All excavated matenal (rom foundal�on, s�dea�alk and dnveways shall.tie-haU�2d to'ar7 aFf��oved, pe��tted s:te <br />N^. �vast�ng of material is allowed on this bwiding lot -. u�'= _ ` <br />5 No d�� mud, rocks or debns to oe trackzd orto �oadv✓ay = <br />9 No bu�'d�ng matenals to be stackeo on side�valk�roadway and sidew�alWroadway ;o be kept clean and ooen foi <br />rcJestnan travel CI_� <br />t; Ad�ust waler meter box 1' above sidewalk grade � <br />�1 <br />C. <br />Ya,• Fubhc l^Jor� s Insner,to� �s C�`f I.�n�ma-� Call ��25-339-7d0A f,� a��y questions an,�(or inspecUons <br />o. r r r r <br />i � r � i �i _ .��i <br />� [iy • <br />, �1 ', . _ . _ . , . . . <br />i0 POSTING '������'�� <br />� �� 3'Z'/-/r� <br />AoproJea tor Con ruct" ior. ' Date � <br />xL'TNSPECTfON "— Dale <br />proved as Constructed 7 �"�9 <br />�r.r.o:r��[�� .,.i-n�� of ������auiir;r.s <br />l he undeioigned Owner,aPG�.r:Bn� herCby dy�ce5 �o ho'�d and <br />save haimless ihe Ciiy ot Everett Irom any and all clanns lo� <br />damages, cosls. eapenses, or causes ol act�on that may ar�;c <br />because of mslallahon and maintenance o( Ihe improvernent <br />or othei ngh;-o6a�ay use herelo apphed for and furthr.r ayrr�s <br />to remove s rne upon noti e from thc Gly and to �cplace <br />public pro rty damage ereby <br />� / <br />S,gnature of Apphcant Dat�e <br />V:ORK r�UTHO?'-CD CY TNIS G'Ri-0:"h1J5T f?f S�flR��Et) ::'ITH:�d 15� D1,Y5OF DFTF �Cf"IT IS i55UE� �1�;C 1HLRCf��'IFP. IS TO N= JI'JGE�:f_1 <br />P�R�I,tL''iL ( OPiPL'c110!1 !'••I� Fc�'1:"`�1AY 6C CA'!C3 L: D d`-' THF CiT� �'P01: A`l� �'np�1. �.E CI 1'.ORK C'1 THG PRO)El� UVFR 911'�n', i CURi�110'J <br />�U/ <br />