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PUBLIC WDRKS PERMIT Date: 4/16/2015 <br /> Public Works Permit#: PW1504-037 <br /> City of Everett Public Works Department <br /> r 3200 Cedar Street Building Permit#; B1412-015 <br /> C�` Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 25.00 M sc <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PASCHALL ROBERT <br /> 2002 LOMBARD AVE <br /> EVERETT WA 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00437942103100 SITE ADDRESS: 2002 LOMBARD AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> BED, FAMILY ROOM ADDITION <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. Stormwater from new impervious surfaces shall not be discharged, through downspouts or. other direct pipe <br /> connections, into a combined sewer, including a lateral line or side sewer connected tajhe city s combined sewer w <br /> system. In addition, stormwater runoff from new impervious surfaces shall be managed on--site &-as to n& ["I <br /> adversely affect neighboring properties, including the City's Right-of-way and improvements Iodated therir�° <br /> cro, O <br /> AZ <br /> •0- . <br /> ;-L-gr,,e tea+,0*..11-- m,z <br /> -41;UQ <br /> O <br /> Ir TrQ /L <br /> LO <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-wary use hereto applied for and further agrees <br /> to remove s meupon notice from the City and to replace <br /> Appro4ed or Cons 7tr Dakel public pro rty d aged thereby. <br /> FINAL INSP CTION Date <br /> Approved as Constructed Vatureoo f 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 />