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PUBLIC *ORKS PERMIT Date: 9/9/2015 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1509-008 <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 90.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MCC&S CONST& DEV MCC&S CONST&DEV <br /> PO BOX 1012 PO BOX 1012 <br /> EVERETT WA 98206 EVERETT WA 98206 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00552300400601 SITE ADDRESS: 10531 WASHINGTON WY <br /> NEW DUPLEX <br /> SHORT PLAT 1202-09-002, LOT 3 <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. All utilities(sewer, water)connection shall be per approved short plat conditions(1202-2009-002). <br /> 5. Storm water shall be done perapproved short plat drainage conditions(connections, amended soil tec..). I--I <br /> 6. Contractor must contact City of Everett Inspector Jim Knappert 425-339-7404 prior to starting construction. <br /> Pg <br /> -Public works fees <br /> ---Erosion Control Plans-Short Subdiv(Lot) $50.00 <br /> ---PW Plan Review(EST) $20.00 <br /> , ---PW Site Inspection(EST) $20.00aa 10 Z <br /> O <br /> C <br /> OCT 2 5 2017 ai <br /> CITY OF.EVERETT <br /> Permit Services <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 /> ` 4//0 �� or other right-of-way use hereto applied for and further agrees <br /> App:ved for Constru•i •r Da to remove same upon notice from the City and to replace <br /> public property damaged there•y. <br /> FINAL INSPECTION Date 4/2",. <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 STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> rI `/I✓ <br />