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24JUL 217 <br /> PUBLIC IORKS PERMIT Date Applied: 7/7/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1707-018 <br /> 3200 Cedar Street Parent Permit#: C1706-025 <br /> Everett,WA 98201 Planning Reference#: SS15-003 <br /> (425)257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PACIFIC HEIGHTS HOMES LLC PACKARD DALE <br /> 620 SE EVERETT MALL WAY STE 35 <br /> EVERETT, WA, 98208 <br /> PHONE: PHONE: 4252380936 <br /> TAX PARCEL ID#: 28053000401000 SITE ADDRESS: 12631 16TH AVE SE <br /> DESCRIPTION: SITE WORK FOR NEW SINGLE FAMILY RESIDENCE <br /> THIS PERMIT INCLUDES THE SEWER, WATER AND DRAINAGE CONNECTIONS FOR THIS LOT. IT ALSO INCLUDES <br /> THE WORK TO BE DONE ON THE DRIVEWAY, LANDSCAPING AND RAIN GARDEN. <br /> LOT 1 SS15-003 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction and with <br /> other inspection requests. See attached to request an inspection. <br /> 5. Site Civil Work to be done per plans approved by the City of Everett Public Works Department .Approved plans must <br /> remain on job-site at all times. <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 7. Install erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales,swales, or <br /> erosion blankets. <br /> 8. Rain gardens along the street frontage must be completed prior to the building CO issuance. Rain gardens must be <br /> posted with raingarden sign, available at the City. ($15 each). Maintainence of the rain garden is the responcibility of the <br /> adjoinning property owner. <br /> 9. Tree trees and type 4 lansdcaping as described by section 35 of the City of Everett Zoning Code ru bio <br /> the issuance of a CO for the building. u L. <br /> Public Works Permit Fee Breakdown: JUL ,2 t} 2017 <br /> Driveway $25.00 — <br /> PW Plan Review $20.00 CITY OF EVERETT <br /> PW Site Inspection $20.00 Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> < � / 7-11 <br /> 7 7 expenses,or causes of action that may arise because of installation and <br /> / maintenance of the improvement or other right-of-way use here to applied <br /> App •ved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Dates --� <br /> / X/i4 <br /> Approved as Constructed (PW Inspector) 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 PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />