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PUBLIC WORKS PERMIT Date: 414/2012 <br /> ds Public Works Permit S: PW1204.002 <br /> City of Everett Publir,Wolk$ Depa!hnent -- <br /> 3200 Codar Street BUildinu Permit k 61203-012 <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 115.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KLOES DEAN SAME <br /> PO BOX 1304 <br /> MARYSVILLE WA 98270 <br /> PHONE: PHONE: <br /> TAX PARCEL ID M 00544900600100 SITE ADDRESS: 2232 61 ST ST SE#AB <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW DUPLEX WITH GARAGES <br /> PERMIT CONDITIONS <br /> 1. All calls for i,spection shall be made 24 hours in advance <br /> 2. All work shall be perfonned in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Undergro.ond Service 48 his before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect sine sewer per City Standard#'x601,602,604. ; <br /> 5.The contractor must meet with the Public Works Inspector Randy Allen (425)339-7403 prior to constructica. W <br /> 6.Install erosion control measures as determined by the Public rNorks inspector, such as sill fence, straw bales, (~ <br /> swales, or erosion blankets. l..l <br /> 7.Remove erosion control measures upon completion of the project prior to final approval of the permit. <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> 9.Pave driveway and coordinatew with City to restore alley 0 <br /> 10. Construct per approved plan. <br /> h <br /> z <br /> Vl <br /> O <br /> a <br /> ACKNOWLEDGEMENT 01=CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> _ save harmless the City of Everett from any and all claims for <br /> damages, costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> 2 �Z or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replay: <br /> p e fo Cons Oate public property damaged thereby. <br /> 7- Mtettu�.Cl�t i � C313112 <br /> INAL INSP N Date <br /> Approved as Constructed I Signature of Applicant Date <br /> WORK,AUTHORIZED BY THIS PERMIT MU`-T BE STARTED WITHIN 180 DAYS OF DAIS PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY TIIE Crr.UPON ANY STOPPAGE OF WORK ON THIS PROTFCT OVER 90 DAYS DURATION <br />