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�• <br />s�� ,;,.,. ,; <br />C�1,_ <br />PUBLIC 1�ilORKS PERMIT <br />City of Everett Public Works Deparim.ent <br />3200 Cedar Street <br />Everett, WA, 98201 <br />(425)257-8810 <br />Date 12/9/2013 <br />Pubhc Works Permit #: PW1312-005 <br />Buildinq Permit#; C1312-002 <br />Planninq Reference # SU406-004 <br />Public Works Fee S: S 65.00 <br />Other S: <br />OWNER WAME AI•7D ADDRESS: APPLICANT NAME AND ADDRESS: <br />THOMPSON ALBERT E REYKDALCHURCH K/�THLEEN <br />12319 38TH DR SE <br />[VERETT WA 98208 <br />PHONE: PHONE: 4253370403 <br />TAX PARCEL ID# 28053000401200 SITE ADDRESS: 12612 18TH DR SE Q <br />DESCRIPTION OF PROPOSED WORK: <br />NEW SFR - BASIC #502 <br />iST USE OF BASIC 502 <br />SUBOn-004 THO�viFSON PL <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance <br />2. All work shall be performed in accordance vnth ihe permit and current City of Everett Des�gn and Construction Standards <br />and Specifications. <br />3 Cail Location Underground Service 4P hrs before you dig TOLL FREE NUMBER 811 i <br />4 Connect side sewer per City Standard #'s 601, 602, 604 =�� <br />5. Install erosion control measures as determmed by the Public Works7napector.��*ueh�as s�lt ferce-slra:ro bales;=; <br />swales, or erosion blankels �j ., �; `-� j-_ z 1; a�;=n — s. rr� �_ �� �-+� _� <br />6. Remove erosion control measures upon completion of the proj���ptwr;Ipiinal a Gsr�al of thE fi$�rg(i � r� o <br />� � r. <br />7 All excavated material from foundation, side�valk and drivewa;�s'shal��b'e �auled Ioan approved, permitted site�� <br />No wasting of material is allowed on this build�ng lut ^ <br />8 No dirt, mud, rocks or debns to be Iracked onto roadway �' <br />9 No bwlding materials to be stacked on side�valk/roadway and sid�alk/roadway lo be keol clean and open (or <br />oedesirian travel ° <br />10 Ad�ust water meler box 1" above sidewalk grade. 'r. <br />1 1 Pave driveway from the front property line out to the s;reat pavir� _, �, ��� .,. �" <br />r. <. .' '_' • . <br />.+�' ' �f� f ] f J � ?� .1• � : � L � M � � i�. P J 1-' <br />n � � c_.i .-, r� i�.., c._; r� r. <br />Your Public WorDs Inspeclor is CIiH Lindman Call 425-339-740�i h�oytque�fio•'4s, pqd!4F7J?�P�Fttons, ;� ;„ <br />�:_ -: `^'_ - - ��- . ._ : ._ ",.. <br />TO POSTING ���'���s <br />Approved as Constructed <br />ry <br />�� <br />ACKNOWLEDGEMFNT 01= CONDITIONS <br />The undersigned ownedapplican� hereby agrees to hold and <br />save harmless the City ol [verett (rom any and all claims lor <br />damages, costs, expenses. or causes of action Ihat may arise <br />because o( installation and maintenance of the improvement <br />or oth r right-ot-viay use herelo applied (or and lurlher agrees <br />lo'�ei�ove s�fhe upon notice (rom the City and lo replace <br />of <br />Date <br />WORK AUTHORIZ[D BY THIS PERh1IT MUST BE STARTED WITHIN !80 DAYS OF DATE�k'RFIfT IS ISSUED A�ID TMEREAFTFR IS TO BE DILIGENTLY <br />PURSUCD TO COPIPLET1017. TI16 PFRhtiT P1AY P,[ CAtiCFLI FD BY THE CIT' UPOF! ANY STOPPAGE Of 1'JORY. OP! THIS PROJECi OVER 90 DAYS DU0.4TIO�U. <br />File <br />