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PUBLIC WORKS PERMIT <br />Cib; of Everetl Pubhc Works Department <br />3200 Cfdar Street <br />EvereN,1WA 9820� <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />CAMDEN COURT l lC <br />3726 BROAOWAY #3�1 <br />EVERETT WA 98201 <br />PHONE: A252122210 <br />fAX PARCELIDa 0039230000103 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE �BASIf; 3321 <br />Date <br />Pubhc 1Norks Permd # <br />Buildinq Permit #. <br />Planninq Reference # <br />8/261�009 � <br />PW0908-046 <br />C0908-025 <br />PubGc Works Fee $ $ 25 00 <br />Other $. <br />qppLICANT NAME AND ADDRFSS: <br />17HONE: i' , <br />AbDRESS z4z 93RD PL SW <br />MCWHERTER LN SPACE 16 <br />PERMIT CONDITIONS <br />1 All calls for mspechon shall be made 24 hours in advance <br />2 All work shall be performed in accurdance with the permd and current Gty of Fverett Design and Construchon Standaids <br />and Specificahons <br />3 Call Location Underground Service 48 hrs before you dig TOIL FREE NUMBER 611 <br />�_. <br />4 Connect rwftop downspouts to the dramage syslem prowded for Ihis bt <br />5 Install erosion conirol measures per City ol Ever_tt Standard (2-1 1 of Slormwaler Manuali tor small parceis <br />6 No dirt, mud, rocks or de_,is to be liacked onto roadwaY <br />7 No budding matenals to be stacked on roadway and roadway to be kepl clean and open for pedeslrian travei <br />8 Contact lhe Mukdteo Water Distnct for connecUng provisions for this buildmg's water and sewer services <br />9 Gradmg lo be done so as nol to impact ad�oining properUes Slopes to be no steeper than 2 1 and any <br />rockeries!retaming walls musl be 3' or less unless approved by Public Works Inspector <br />roF� ruii� ic woi;Ks ;,vsi�i c�� ioN rni_i ci iF i i iNur��nr: n� n,��-3���; ao�� <br />� <br />' . �J�,�/, :��� ���F.� .7" .:a< �i <br />Approved tor ConsirucGon Dale <br />�� � <br />/�.. ✓ ..�-� <br />FI INSPECTION � Date <br />Approved as Constructed ✓/ �z -� <br />nCk.NO:'1li UGrr.+t:Nt OF cONDitIONS <br />I ht� unAers�y��ed ownedapplican� herebi ayrees �o hold antl <br />t,rve harmless Ihe City of Everett from a�y and all claims lor <br />damages cosis.e�penses,orcauses oladionihal may anse <br />Uecause of installahon and maintenance n11he improvement <br />or olher nght�of-way use hereto applied fo � and luhher agrees <br />to remove same upon nohce lrom Ihe City �inA io �eplace <br />pub6c property damaged thereby <br />` <br />l; - i 1--� -- , <br />gignalure of Apphcant <br />Date <br />�•,O�Y nun�ol:l. I:, e� �iil5 i�1 G'�ill "ai ISt RC STAFTED WITMIN 180 DAYS Of �ATE PCR�dIT I5 ISSUED AND THERCA�TER IS TO BE DIUGCNTI Y <br />�'�n.�...� �� i�., ��-n..I .�1..•, 1. i I��•.tl� '.v.'� 8E CANCEI.LED BY 7NC CITY Uop ANV StUrPnC;! 01 �',ORK OV iH6 VNOJtCI OV[R �0 DA�'. DURATIO'� <br />; , .,f�5i �N�� �z�'gL°�..- <br />