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r <br />�- , <br />('.�i>�`';L�='1'!r ��, <br />PUBLlC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADD��SS: <br />THOMPSON ALB[RT E <br />12319 38TH DR SE <br />EVERETT WA 98208 <br />FHONE: <br />AX PARCEL ID # 28053000401200 <br />D[SCRIPTION OF PROPOSED WORK: <br />NEW SFR - E3ASIC #502 <br />1ST USE OF BASIC 502 <br />Date: 12/9/2013 <br />Public Works Permit #: PW1312-005 <br />Building Permit #; C1312-002 <br />Planr,inq Reference #: SUB06-004 <br />Fciblic Works Fee 5: � 65.00 <br />Other 5: <br />APPLI�ANT !!AME AND ADDRESS: <br />REYKDF.�: CHURCH Kr1THLEEN <br />PHONE: 4253376404 <br />SITE ADDRESS: 12612 18TH DR SE <br />SUB06-004 THOMPSON PL <br />PERMi' CONDITIONS <br />1. All cslls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUNIBER 811 � <br />4: Connect side sewer per City Slandard #'s 601, 602, 604. � <br />5. Install ernsion control measures as determined by the Public Works-inspeetor,�-suehras silt fenoe� stra�,v�t+aleS� <br />� <br />swales, or erosion blankets. —� � �- -^ = E �n � _ _ � � � � -^ <br />r.T� z•v_m r r� z <br />6. Remove erosion control measures upon completion of the pro " t pgc��nal�p�r¢v�l of thre-'�$J�t� �' � <br />7..All excavated material from foundation, sidewalk and driveways sha�(I'bs �ule�'t��n approved, permitted sit�� <br />No wasting of material is allowed on this buildmg lot � <br />9. No dirt, mud, rocks or debris to be tracked onto roadway. �' <br />9 No building materials lo be stacked on sidewalk/roadway and sid�valk/roadway to be kept clean and open for <br />pedestrian travel. '� <br />10 Ad�ust water meter box 1" above sidetivalk grade. '-�' <br />11. Pave driveway from ihe front property line out ro the streel p�li�. �; � <br />� �s. �r u�. =:, s T u. w � ��--' v, �.i �r. <br />m� r_� r� r_� �-- m,_ .-� �-- r as �t � r.� �-- <br />�'� r � �_ � r _ � r � � � o i � r <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404-�c�r�oy�uestiop� �c`l�,o���7sp��orts ;� �„ <br />r=- .�o��,io�,�.�.:,o-�o�-�+.r�. <br />/�� _ � 2 �.+'/� <br />Approved for Conslruction Date � <br />Date <br />as Conslructed <br />WORK AUTHORIZED 6Y THIS PERNIT MU�T BE STARTED WITHIN 18U DAYS OF <br />PURSUED TO COMPLETION. 1H15 PERMIT h7AY �E CANCELLED BY THE CIIY UP <br />�0 POSTING � g �y <br />� <br />� <br />�CKNO`M.FDGFP�IENT OF COMDITIONS <br />The undersigned ormer/applicant hereby agrees to hold and <br />save harmtess the City of Everett (rom any and all claims for <br />damages, cosis, expenses, or causes of aciion Ihat may arise <br />becausc of installa�ion and maintenance of ihe improvement <br />or clher right-of-way use hereto applied (or and (urther ayrees <br />to removeya me upon nolice from Ihe City and to replace <br />ouh(ic or�o resfZfasaaaed Iherebv. ., <br />of <br />Dale � <br />�� <br />II � <br />PERDIIT IS ISSUED AP70 TFiERFAFTER [5 TO 0E DIUGENTLY <br />Y SiOPPAGE OF WORK ON THIS PROJECT OVER 90 DAY�S^ D'URATION. <br />I vv <br />