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PUBLIC WORKS PERM1� <br />City of Everefl Pubhc Works Department <br />�ry�- � _ 3200 Cedar Street <br />�"•; *��;'' Everett. WA 98201 <br />(425)257-8810 <br />Date. <br />Public Works Permit #: <br />Buildinp Permit #; <br />Planninq Reference # <br />Public Works Fee $: <br />Other S: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CORNERSTONEH'JMES <br />PO BOX 14424 <br />MILL CREEK WA 98082 <br />PHONE. <br />PHONE: <br />TAX PARCEL iD M SITE ApDRESB: 1811 105TH ST SE <br />DESCRIPTION OF PROPOSED WORK: <br />MOOULAR OFFICE <br />9173/2010 <br />PW 1009-�05 <br />B1009-010 <br />$ 70 00 <br />PERMIT CONDITIONS <br />1 All calls for Inspect�on shall be made 24 hours in advance <br />2 All work shall be performed in accordance wiln ihe permit and arrent City ol Everett Des�gn and Conslruction Slandards <br />and SpecihcaUons <br />3 Call Location Underground Service 48 hrs be/ore you dig TOLL FREE NUMBER 811 � <br />4 Connect side se�ver per City Slandard #'s 601 602. 604 <br />5 The contractor must meet wdh the Public Wor4s Inspector to discuss potenUal drainage routing pnor to <br />beginning the pro�ect <br />6 Install erosion control measures as determined by the Public Works inspector, such aS sdt fehce, straw b01es, <br />swales or erosion blankets ;,.' �� <br />7 Install erosion control measures per City of Everett Standards for small parcqli ;�. � <br />8 All ezcavaled matenal from foundation, sidewalk and dnveways sl�all be hauled to an�pproved, p9rmdted site. <br />No washng ol matenal +s allowed on thls bwlding b( <br />9 No dirt. mud, rocks or debris to be tracked onlo roadway K� <br />10 Install curb, gutter and sidewalk as per City ol Everett Standard Plan #'s 305A'� 306 on this proposal's frontage <br />as indicaled on the approved plan <br />11 Install a Type' concrete dnveway per Cdy of EvereU S!andard #307 <br />12 Pave drweway from the front property line out to ihe street paving ... • � <br />I M � <br />FOR QUFSTIONS CONTACT PUBLIC WORKS INSPECTOR CLIFF LINDMAN42�-338-7404 ' `.� yc; �. <br />T� <br />nrriu j ( 1 <br />Fw i urG <br />' ACKNOWLEDGEMENT OF CONDITIUNS <br />The undersigned awnedapplicent hereby egrees lo hold end <br />seve harmless Ihe C;ity ol Everett Irom any and all claims lor <br />damages, costs, eMpAnses. or causes of ection thal may ariee <br />because ol mslallatwn end maintenarce ol lhe improvement <br />or other right-ol-way use hereto appGed for and lurther egrees <br />lo remove same upon nolice Irom the City end to rep�ace <br />public property damaged �hereby <br />��.y'�..�/_ /� _�-�� <br />Approved for Constructwn Date <br />/�' 4�/� <br />'ECTION Date <br />as Constructed - ' <br />F <br />i.r <br />� <br />� <br />�'y <br />� <br />¢I"�' <br />VI <br />Q. <br />���,� ,� lo�'I��� <br />SigneWre o1 Apphcant <br />Oete <br />WORK AU7HORIZEJ BV THIS PFRMIT MUST HE STA0.TF� WRMIN 180 DAYS OF DAiE PEHMIT IS ISSUED AND THEREAFTER IS TO BF DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERh11T MAY BE CANCELIED BV THE CITV UPON ANV S�OPPAGE OF WORK ON TMIS PROJECT OVER 90 DAYS DURATION. <br />