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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />0:7r 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257.6810 <br />)WNLR NAME � � <br />INDADDRESS: 5822 NE 195TH ST <br />KENMORE WA 98028 <br />PHONE: 4252992537 IPHONE <br />TAX PARCEL <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date 10/7/2005 <br />Public Works Permit N PWO510-010 <br />C0510-013 <br />Building Permit N <br />Planning Reference N <br />Public Works Fee $ $25 .00 <br />Guarantee $ <br />TO POSTING <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 Va 601, 602, 604. <br />S. Rooftop runoff roust be discharged to a roof downspout infiltration system per ri ;. <br />of Everett Storm Manual 3-2.6.2. The approximate size trench is 3.5' wide: 2' deep <br />and 25' long. See attachment for more details. As an alternative, consult with the <br />Public Wroks inspector (Cliff, 425-339-7404) with regards to tight -lining the drainacl=• <br />to the roadside ditch. <br />6. Install erosion control measures per City of Everett Standards for small parcels <br />7. Remove erosion control measures upon completion of the project prior to final <br />approval of the permit. <br />8. Owner must install a 1-112" diameter water service from the meter to the duplex ,n <br />order to insure enough flow to fixtures. <br />/4/7 �4�5- <br />Approved for Construction Date <br />L INS E ION <br />Approved is Constructed Date <br />7`i -06 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownetuapplicant 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 />LLW <br />v! <br />Z <br />O <br />I''—^— <br />V, <br />O <br />a <br />remove same n nott a Irom the City and to replace pudic <br />pro age P by. <br />i —� <br />7-2 <br />gnaturs of Appl t ` Det <br />WORK AUTHORIZED BY THIS PERMIT 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 OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />