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PUBLICSIORKS PERMITI Date: 4/13/2015 <br /> e Pu��lc`Works Permit#: PW1504-027 <br /> City of Everett Public Works Department 1 <br /> E; FTT 3200 Cedar Street Building Permit#; C1504-003 1 <br /> Everett, WA 98201 Planning Reference#: SUB13-001 <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 I <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SEATTLE PACIFIC HOMES SEATTLE PACIFIC HOMES <br /> 120 SW EVERETT MALL WAY 120 SW EVERETT MALL WAY <br /> PHONE: 4259532800 PHONE: 4259532800 <br /> TAX PARCEL ID# 28051800302200 SITE ADDRESS: 9216 5TH DR SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEW HOUSE <br /> CASCADE PARK SUB13-001 <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. Connect side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. �; Cr) 7 <br /> 6. Install erosion control measures as determined by the Public Worms.jnspector uch as.silt,fence,-straw baleN, w <br /> swales, or erosion blankets. -+ �° [—I <br /> �.�(_ T T om^T h'9 3:r Cu 5)SY i r -,—, <br /> 7. All excavated material from foundation, sidewalk and drivewi glial J .aim N an *ed,0500 . <br /> CA <br /> No wasting of material is allowed on this building lot. ^ " 'Z'? <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. 'z; = <br /> 9. No building materials to be stacked on sidewalk/roadway and si+*walk/roadway to be kept clean and open 4 0 : C <br /> pedestrian travel. ►� <br /> a • 4 <br /> Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or inspections. T' o <br /> in r-'- EfF £F3 -, <br /> FEES= $20 PW REVIEW, $20 PW INSPECTION, $25 DRIVEVyA" 'I' - ~` +-7.1 'fl [--I <br /> rJ H+f•�,7 C--...i`+F--•H3 LTl{f+tfi•Eft <br /> £ LTi LTJ <br /> C <br /> i I <br /> C E i[1 <br /> a�-, a <br /> t-n <br /> J <br /> APR 2 0 2015 [1 j <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C s. Y O' '•E == I The undersigned owner/applicant hereby agrees to hold and <br /> � <br /> . �, -r <br /> WI <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 /> wry because of installation and maintenance of the improvement <br /> `1 __ `: ;! /� 20/J or other ight •f-w-, use hereto applied for and further agrees <br /> ���—��� to remo 1- s- e fon notice from the City and to replace <br /> App .• f.r C•,;-.u ion D-te 1 1 dthereby. <br /> public • •p- yd: a•, <br /> FINAL INSPECTIO Date 1. A L. <br /> Approved as Constructed Si., . ure of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA : •:•MIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON A STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />