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�'"� �U�Sed C�ll�vv�S <br />� PUBLIC RKS PERMIT <br />�L Ciry of Everett Public Works Depariment <br />,�- ,��y.,�,,�, ,.�«� 32�0 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit # <br />Buildmq Permit #; <br />Planninq Reterence #: <br />P,�Cz�ua ��n <br />6/5/2013 <br />PW1306-005 <br />C 1305-001 <br />Public Works Fee $ $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />NGUYEN MIKE & TAMMY OWNER <br />15331 4TH AV[ W <br />LYNNWOOD Wq 98087 <br />PHONE: PHONE: <br />TAX PARCEL !D M SITE ADDRESS: 1 S15 98TH PL SW UNIT A8B <br />OESCRIPTION OF PROPOSED WORK: <br />PU�LIC WORKS FOR NEW SFR <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 with the permit and current Gty ol Everett Design and Construction Standards <br />and Specifications <br />3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 r-- <br />4 Per approved plan dated 6!3/2013 <br />5 Install erosion control measures as determined by the Public Works inspector, such 3s silt tence, straw bales, <br />swales, or erosion blanktis <br />6 Install erosion conirol measures per City of Everett Standards for small paicels <br />7 Remove erosion control measures upon completion o( the pro�ect pnor to final approval of the perm�t <br />8 All excavated material from foundatron, sidewalk and driveways shall be hauled to an approved, permitted sile <br />No wasting of material is allowed on this building lot <br />P No dirt, mud, rocks or dehris lo be t�acked onto roadway <br />10 Ad�ust water meter box 1" above sidewalk grade. <br />11 Install a Type I concrete drlveway per City ol Everett Standardk307 <br />12 Pave driveway from the Ironl property hne out to ths street paving <br />Your pubhc works mpsector Ic ChH I_indman. Please call (425)257-7269 for any Inspecfions or quesl�ons <br />TO PQSTING. � ��y �� <br />' �lv ///.� <br />Approve for n uc io Date <br />FINA� INSPECfION Date <br />Approved as Constructed <br />W <br />� <br />r.� <br />� <br />� <br />� <br />�"� <br />z <br />� <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMCNT Of CONDITIONS <br />1 hc undersigned owneNaophcant hereby Hgrees lo hold and <br />save harmless Ihe Gly ol Everett (rom any end all claims lor <br />damages, cosls, expenses, or causes ol achon Ihat may arise <br />because of installalion and mainlenance of Ihe impwvemenl <br />or ether right-ol-way use hereto applied for and furiher agrees <br />to remove same upon noUce from Ihe Cily and to replace <br />pu Uc propeAy magedlhereby <br />� �1 <br />Signatureolllpplican Uate <br />WORK AIITNORIZED BY 1HI5 PCR14ft MUST OC $IART[0 Wl7HIN I80 DAYS Of DATF PER14fT IS ISSUEU AND 1HEREAfTER IS TO flE DILIGENTI Y <br />PURSUCD TO COMPLETION. TNIS PERMR MAY BE CANCELLED BY THE CRY UPON ANY PAGE O( WORK ON THIS PROIECT OVER 90 DAYS DURAlION. <br />�P��s�� CeH�� �i�•��r <br />