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PUBLICSORKS PERMIT • Date: 10/29/2015 <br /> 401111p 2 Public Works Permit#: PW1510-054 <br /> i'1048/1 .-41— <br /> '1 City of Everett Public Works Department <br /> EGRErT 3200 Cedar Street Building Permit#; D1510-006 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> �/p, Public Works Fee $: $ 65.00 <br /> L Ifnindiivi tti) f ywit lA Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HOUSING AUTHORITY OF EVERETT <br /> PO BOX 1547 <br /> EVERETT WA 98206-1547 <br /> PHONE: PHONE: -5Ld CIL3 — St— <br /> TAX <br /> fiTAX PARCEL ID# 00459200100000 SITE ADDRESS: @001BLOCK OF LOCUST <br /> CURB CUT/WATER SERVICE TRENCHING <br /> Install new 6" side sewer and new 3/4"water service behind master meter. <br /> Side sewer per U1510-050 and water service per P1510-026. <br /> GRAND VIEW HOMES BLK 001 D-00 - <br /> BLOCKS 1 2 3 4 5 6 & 7 <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. Site Civil Work to be done per plans approved (as noted) by the City of Everett Public Works Department dated w <br /> 11/02/2015. )—( <br /> Cr <br /> 5. New side sewer to be 6". Connect side sewer per City Standard Drawing numbers 601 through 604. r4 <br /> C <br /> 6. The curb cut for the proposed driveway shall be installed per City of Everett standard drawing#307. Street shall <br /> be saw-cut far enough out to accommodate forms gutter installation. Z <br /> 7. Install erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales, O <br /> swales, or erosion blankets. _ <br /> 8. No dirt, mud, rocks, or debris to be tracked onto roadway. Keep City streets clean at all tim <br /> el <br /> NOV 0 S ZOID 2 a <br /> Public Works Permit Fee Breakdown: ' <br /> Driveway/Curb Cut$25.00 v f, ,;, <br /> PW Plan Review$20.00 <br /> PW Site Inspection $20.00 <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 /> J <br /> da ncU 3_�� �2 /1-2-2015 or 0th fight-of-way use hereto applied for and further agrees <br /> to remov same upon notice from the City and to replace <br /> ApprDate ed for Con - a �s public p perty dama d thereb <br /> F NAL INSPe TION Date '1— //3/7-, <br /> Approved as Constructed 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 <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGEOFF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �/L <br />