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PUBLIC WORKS PERMIT Date: 5/23/2016
<br /> s
<br /> .City of Everett Public Works Department Public Works Permit#: PW1605-025
<br /> 3200 Cedar Street Parent Permit#:
<br /> ---,,,?iA Everett, WA 98201 Planning Reference#:
<br /> (425)257-8810
<br /> Public Works Fee$: $ 965.70
<br /> Other$:
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> ACME HOMESLLC
<br /> 10211 180th ST S.E.
<br /> SNOHOHISH WA 98296
<br /> PHONE: 4259030292 PHONE:
<br /> TAX PARCEL ID# 00433600005502 SITE ADDRESS: 3505 UPLAND AVE
<br /> 3-Lot Short Plat
<br /> 9"2-C>Z. -- 2I5— D(*'
<br /> FTEOFSWCOR&A PT105FTEOF
<br /> NW COR
<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 by the City of Everett Public Works i;_ --4
<br /> Department dated 07/12/2016. � _, ,_ M_. . ,_. ;_ ,_.x •f- °c.,-)
<br /> 5. Contact the City of Everett Public Works Inspector Rancl QI R, _4g�jCPQ-..• 0 1034 ' w
<br /> to starting construction and with other inspection requtl;:" tERtorest*A: _ •af-- 7.1,,..):- :=r [�
<br /> inspection. ;: !-.T:11:.-;; - ,;z, ;,., :7,:i. _,:74:7 -,3 , ? 1 • H
<br /> 6. Connect side sewer per City Standard#601. r- `.' '=;
<br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadvy. '''' `''"'
<br /> 8. Install erosion control measures as determined by the1ublic 1PJorks Inspector, such1 r•..'} l' it
<br /> as silt fence, straw bales, swales, or erosion blankets. ., t:�
<br /> 9. Remove erosion control measures upon completion otlthe project prior to final ''
<br /> approval of the permit. iff-.1...,.+ n ; :*° '�
<br /> f•J 1p
<br /> 10. Must comply with Short Subdivision conditions(SS1 .-p 1 '"` '�` "- ` � O
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<br /> -...1 1—'ND: •.��:1 ti."y 9:i,-a''' ,•�,•••,.u.;Ga,,:a h-t,wa.L••.
<br /> PN C-71= n'n•;,„y-.. .::y,:_.y .3 V.Cy"•, C y'9 b.)tl=z•,a r't
<br /> Public Works Permit Fee Breakdown: :'r)' • ' �'' ' 5'''r'`�}1.14 E4 " '. `' c r^'
<br /> ,;_a. ria ••c=a '-:]�;a,..J L'?:7 ••=a ''„-`• `-a `a y r
<br /> G 7*._ L
<br /> Paving (3250SF) $45.00 `"•.
<br /> �a CA
<br /> PW Plan Review $306.90 O
<br /> PW Site Inspection $613.80 a
<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> The undersigned owner/applicant hereby agrees to hold and save harmless the
<br /> - / City of Everett from any and all claims for damages,costs,expenses,or
<br /> \� �i�"l1 7 asj l,6 causes of action that may arise because of installation and maintenance of the
<br /> ' .pr• -• or fl on*P//
<br /> tr - D- e
<br /> improvement or other right-of-way use hereto applied for and further agrees to
<br /> jremove same upon noti, -from the City and to replace public property
<br /> _ A ✓ 17 damaged they /•
<br /> Fl 'AL INSP fION Date / -,2_0 l(
<br /> Approved as onstructed Sig 4- 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.
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