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3C WORKS PERMIT Date: 4/13/2015 <br /> r2 Public Works Permit#: PW1504-026 <br /> a Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1504-002 <br /> Everett, WA 98201 Planning Reference#: SUB13-001 <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> uWNER 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: 9318 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. C' ; w <br /> 6. Install erosion control measures as determined by the Public Works-Inspector;suel� s-si#t•fence,pstraw-bale>_; <br /> swales, or erosion blankets. -.:s.' ,�,-0;La_= i=*I:�2- --{ <br /> 7. All excavated material from foundation, sidewalk and drivewaA shadbeRule 'Il a. rbc fid, •'nutted site. CA <br /> No wasting of material is allowed on this building lot. -� � a C" i <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. T �" . , ICP <br /> 9. No building materials to be stacked on sidewalk/roadway and sic valk/roadway to be kept clean and open fc1 :-` Q <br /> pedestrian travel. 8 <br /> r= <br /> ss 'Li <br /> Z <br /> Your Public Works Inspector is Cliff Lindman. Call 425-339-740&�fo� any questions and/or inspections. L <br /> pq Q <br /> x 1,a1 b3'+, I—. tea.'c . H'-'' I <br /> FEES=$20 PW REVIEW, $20 PW INSPECTION, $25 DRIVEWt�Ya o r a o o :1:*;g '' <br /> r•...,, ..........��jj _find•-GS O.d_-„.,..7 L„pG O F_. '^ <br /> r j u.i s- ' o C,Ti l`'O' G .YOB Q <br /> C7 CSI Crt <br /> ---I r•? - Mo <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> III save harmless the City of Everett from any and all claims for <br /> damages, costs,expenses, or causes of action that may arise <br /> �._ �/j because of installation and maintenance of the improvement <br /> ���� �1, , • ,� or other right-of- -y use hereto applied for and further agrees <br /> - -�r�i'i '�� to rem'.ve .ame po notice from the City and to replace <br /> *proved or 1� u do---,A Date public t:ro erty •'� /ged thereby. <br /> FINAL INSPECTIO Date <br /> Approved as Constru ted Si. -ture of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAT; `ERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ,► n STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> orre_ t <br />