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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) M88POSTING JUL 2 2 2004 <br />Date 12/11/2003 <br />Public Works Permit N P90312-015 <br />C0312-011 <br />Building Permit N <br />Planning Reference N <br />Public Works Fee $ $25.00 <br />Guarantee $ <br />OWNER NAME .LLLL —F17"E, 7 <br />APPLICANT NAME J <br />AND ADDRESS. 3229 WE7MORE AVE 011) <br />AND ADORLSS <br />EVERETT WA 982111 <br />PHOt'iE 4253379079 <br />PHONE: <br />TAKPARCELI.D e - <br />PROJECT ADDRESS: F4Tff S'7 S !' <br />DESCRIPTION OF 111i HOILSL'' <br />PROPOSED WORK: <br />PERMIT CONDITIONS <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 9601. <br />S. connect rooftop downspouts to the drainage system provided for this lot. <br />6. Install erosion control measures as determined by the Public Works inspector, such <br />as silt fence, straw bales, swales, or erosion blankets. <br />7. Remove erosion control measures upon completion of the project prior to final <br />approval of the permit. <br />B. All excavated material free foundation, sidewalk and driveways shall be hauled to <br />an approved, pe-stitted site. No wasting of material is allowed on this building lot. <br />/ /6 C3 <br />-- A ad f r nstW at <br />a <br />AL INSPE TION <br />Approved as Constructed Dale <br />TF <br />7 <br />am <br />W <br />O <br />01-08-04 <br />3:05PM <br />z <br />H <br />312011 <br />O <br />BUILD <br />1111.35 <br />SRCHG <br />4.50 <br />` <br />r <br />MECH <br />60.00 <br />N <br />PLUMB <br />84.00 <br />O <br />DRIVE <br />25.00 <br />N <br />312033 <br />0. <br />SEWER <br />30.00 <br />'ITILITY <br />1296.00 <br />WATER <br />190.00 <br />TOTAL <br />2800.85 <br />ACKNOWLEDGEMENT OF CONDIApqS 2ROO. <br />D <br />A %M,6071 <br />The undersigned owner/applicant areby agrees to hold and <br />saws harmless the City of Everett from any and all claims for <br />damages. costs, expenses, or cau! es of action that may apse <br />because of Installation and maintenance of the improvement or <br />other right-of-way use berate applied for and further agrees to <br />femme sin 1 u on notice Irom the City and to replace public <br />propel d thereby. <br />•a ' Applicant N Date <br />WORK AUTHORIZED BY THIS PERftIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE Oc WORK ON 714IS PROJECT OVER 90 DAYS DURATION. <br />