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PUBLIC WORKS PERMIT Date: 12/4/2014 <br /> City of Everett Public Works Department Public Works Permit#: PW1412-010 <br /> 3200 Cedar Street Building Permit#; C1409-044 <br /> ETT Everett, 82 9 <br /> WA 8201 <br /> (425) 257A 9Planning Reference#: SEPA10-004 <br /> Public Works Fee$: $ 965.00 <br /> • Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KEPPLER, RODERICK L & MARILOU <br /> 3719 108TH ST SE <br /> EVERETT WA 98204 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 28051900103400 SITE ADDRESS: 1414 106TH PL SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> TRAFFIC MITIGATION & PW FOR NEW TOWNHOME UNIT <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 side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. w <br /> 6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. F� <br /> 7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. Ck <br /> No wasting of material is allowed on this building lot. <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. PIP <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for 0 <br /> pedestrian travel. h <br /> Pave from garage door to private street. Z <br /> Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/ i `e• ,ntp E Q <br /> FEE DETAIL; $900 Traffic Mitigation, $25 Driveway, $20 PW Review, $20 PW Inspectiocip <br /> JAN 0 2 2015 O <br /> CITY 01- V <br /> °erre`_. - aces <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 /> —mar, ��� to remove same ••' i•ti - from the City and to replace <br /> prpved ••r - >•, rution Date public propy d�. -reby. <br /> \\� 1 -a�' )5 I 7%6( S—' <br /> FINAL INSPECTI•N Date „�' <br /> Approved as Constructed ..,-Signature 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 /> -P LA) <br />