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PUBLIC WORKS PERMIT <br />City of Everett Public Works Depp- o(o) <br />3200 &dar Street `�" i"dNJ <br />EVerethVf'A 98201 RIG-1 <br />(425 257-8810 <br />. [RHIT W.807004 <br />Date: <br />7/28/2008 <br />Public Works Permit #: <br />PWO807-024 <br />11:46 Buildinq Permit #: <br />C0807-004 <br />OIaarninq Reference #: <br />Public Works Fee $: <br />$ 25.00 <br />nue.m <br />OWNER NAME AND ADDRESS: <br />I <br />BLDG. <br />APOIJOAtS NAME AND ADDRESS: <br />BEKINS CRAIG <br />1 <br />S C <br />Sh.50 <br />1100.00 <br />8420 XAVIER WAY <br />I <br />MECH <br />.00 <br />EVERETT WA 98208 <br />1 <br />DRIVE <br />496.00 <br />q <br />PHON@?7037 <br />PHONE: 4257891728 <br />TAX PARCEL ID # 00544900300700 <br />1 <br />SYS DEU <br />I SITE AMRESS: 2108 62ND ST SE #AB <br />rL <br />O4 <br />DESCRIPTION OF PROPOSED WORK: <br />1307002 <br />NEW DUPLEX <br />1 <br />BLDG. <br />$50.00 <br />1 <br />S C <br />$4.50 <br />1 <br />SEWER <br />$10.00 <br />1 <br />TRAFFIC <br />5900.00 <br />TL <br />$6,B48.54 <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 City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4 The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to <br />beginning the project. <br />5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales or erosion blankets. <br />6. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />7 No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. Pave driveway from the front property line out to the street paving. <br />FOR PUBLIC WORKS INSPECTION CALL RANDY ALLEN AT 425-339-7403 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />E-� <br />r <br />�Q <br />C) <br />C <br />ACKNOWLEDGEMENT OF 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 />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WrTHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 15 TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />