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f <br /> • Date: 6/4/2015 <br /> PUBLIC WORKS PERMIT Public Works Permit#: PW1506-008 <br /> City of Everett Public Works Department <br /> TT 3200 Cedar Street Building Permit#; C1506-005 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> • Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> A& P HOLDINGS LLC <br /> 125 S NYDEN FARMS RD <br /> LAKE WA 98258 <br /> STEVENS PHONE: <br /> PHONE: 4255082465 <br /> TAX PARCEL ID# 00520300001700 SITE ADDRESS: 324 SKYLINE DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW SINGLE FAMILY DWELLING <br /> TO POSTING 3/25 l6 <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. Keep City streets clean at all times. <br /> 5. The side sewer for this house shall be installed per City Standards 601 through 604. Copy of Standards is w <br /> attached. CA <br /> [� <br /> 6. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direct pipe <br /> connections, into a combined sewer, including a lateral line or side sewer connected to the City's combined sewer <br /> system as per EMC Chapter 14.08.180 H. <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way <br /> and/or easements and the improvements located therein. <br /> 8. Stacking of building material in right-of-way not permitted. [[�� O <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior t ngcon'S`truccuon '7\1a <br /> t <br /> and with other inspection requests. See attached to request an inspection. JUL 0 1 2015 <br /> Public Works Fee Breakdown: <br /> Plan Review$20.00 OI _EVERETT <br /> Inspection$20.00 ACKNOWLED�`]'� ( 9©* 1 ONS <br /> Driveway$25.00 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 /> /6-is- or other ri•h-of-way use hereto applied for and further agrees <br /> App,for Cons o to remov_ ..1 e upon notice from the City and to replace <br /> / Date public pro.\\ damaged thereby. <br /> 7 0 p 20 <br /> INAL INS 7 CTION Date <br /> Approved as Constructed Signature o'•p.licant 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 /> c ) <br /> L <br />