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PUBLIC WORKS PERMIT Date: 11/10/2009 <br /> Public Works Permit #. PW0911-019 <br /> City of Everett Public Works Department <br /> 3200 ffidar Street 02-25-201u iliU% 10:40 Buildinq Permit#: C0911-004 <br /> [&.J td L ' Everell 98201 REG-1 02Eninq Reference #: <br /> , <br /> (425)257-8810 C <br /> i '`1' <br /> PERMIT 60.0911004 Public Works Fee $: $ 25.00 <br /> i IN In Other $: <br /> OWNER NAME AND ADDRESS: 1 Rk APN 19flIff NAME AND ADDRESS: <br /> HOUSING AUTHORITY OF 1 MECH 590.00 <br /> §9tP547 1 PLIG 1120.00 <br /> 1 DRIVE 125.00 <br /> EVERETT WA 98201.40 1 S C 14.50 <br /> PHONE: 24 X $1 AAt&EB9 <br /> TAX PARCEL ID p00701000000400 el E911' SITE ADDRESS: 117 79TH PL SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION TO SINGLE FAMILY HOUSE <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. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 5. The contractor must meet with the Public Works Inspector, Randy Allen at 425.339-7403, to discuss potential <br /> drainage routing prior to beginning the project. <br /> 6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. <br /> 7. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br /> 8. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. 0 <br /> No wasting of material Is allowed on this building lot. <br /> 9. No dirt, mud, rocks or debris to be tracked onto roadway. Z <br /> C <br /> 0 <br /> CIO <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 /> / J /�• '� because of installation and maintenance of the improvement 0/ or other right-of-way use hereto applied for and further agrees <br /> A ro onst uctio Date to remove same upon notice from the City and to replace <br /> PP or publi roperty damaged there <br /> FTNALINSPLL;VVN Date —� <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 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 />