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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />EvoregA <br />(42sVIOSiiNG �APR_1_2005 <br />EUTENEIER FRED A <br />2119 74771 ST SE <br />EVERE77 WA 98203 <br />APPLICANT NAME <br />ANOADDRESS: OWNER <br />Date 9/21/2004 <br />Public Works Permit • P00409-027 <br />Building Permit II C0409-018 <br />Planning Reference N <br />Public Works Fee $ 625.00 <br />Guarantee S <br />IPHONE: 2704549022 I PMfIE: <br />TAX PARCEL I.D.e 00545204102900 PROJECT ADDRESS: 2119 74Ta ST SE <br />DESCRIPTION OF NEW HOUSE <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />ASyv <br />LOT 29 i 30 BLOCK 041 PINSH(JRST Div <br />D <br />1. All calls for Inspection shall be made 24 hours in advance - phone (425) 257.8810 <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect side sewer per City Standard Vs 601, 602, 604. The contractor shall veLll:y <br />that the existing side sewer is in good condition and consult with the Public Works <br />,inspector. <br />5. Rooftop runoff must be discharged to a roof downspout infiltration system per City <br />of Everett Storm Manual 3-2.6.2. The approximate size trench in 3.5' wide, 2' deep <br />Ljl � nd 25' long. See attachment for more details. <br />�� 6. All excavated material from foundation, sidewalk <br />an approved, permitted site. No wasting of material <br />7. Pave driveway from the front property line out to <br />9 a3 0 <br />roved for C "sit n to <br />L [./ ^C <br />FINAL INSPECTION <br />ApproyM as Constructed Date <br />and driveways shall be hauled to <br />is a11owed10.038t0(IiS3iQ3hphing lot. <br />the etreA pavind140YY�O��EEii <br />PLAN Cf( 7.213 <br />Elll LO 1228.95 <br />MECH 90.00 <br />I'LUHI3 140.00 <br />DRIVE 25.00 <br />0 0409033 <br />SEWER 70.00 <br />TOIAL 1561.23 <br />CHut. <br />A OM 262 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />0 <br />U) <br />0 <br />a <br />i:inl.23 <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 or <br />other right-of-way use hereto applied for and further agrees to <br />r move sa Vt <br />om the City and to replace public <br />r o m <br />Signmiure of ADatd Of <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1e0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAYS OURATION. <br />