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PUBLIC WORKS PERMIT <br />'City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />ADAIR ENTERPRISES LLC <br />17032 35TH AVE SE <br />BOTHELL WA 98012 <br />PHONE: 4257431718 <br />Date: 1 /15/2014 <br />Public Works Permit* PW1401-005 <br />Building Permit #; C1308-005 <br />Planning Reference #: SS07-036 <br />Public Works Fee $: $ 965.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />ITAX PARCEL ID # I SITE ADDRESS: 1133 TTEREVE DR I <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR NEW SINGLE FAMILY DWELLING <br />Section 07 Township 28 Ran! <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. M <br />6. Install erosion control measures as determined by the Public Works intpe�ttir',"guch' ad sift fender ttrWbales~ <br />swales, or erosion blankets. C"! �9 `G 2 �, � `� ;= Fiq <br />7. All excavated material from foundation, sidewalk and driveways Aall IA haRip o ai.-fl .ved;4pgpr�ii(t�ri <br />No wasting of material is allowed on this building lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. `��. =:a <br />� <br />�Ta <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for Orly questions and/or inspections. <br />,m <br />i <br />*;�- •CF o- Ha <br />r..:) 0-- A_.. <br />ba 4rt tSo- =Ft nn ��-. i 7 4-1-1 ti Fes , •GFk —� <br />-•. 3 B s� r.a X.5 r•.:� c. �a • ; . C7 •Err rr. y.'. -•._. <br />'r--'• C. '� C� t;,,a p C71 I—..-•..i-•. CJ I—•'• .A• Ca Ct •.y^• <br />w �-� �e Gi a e r-s o <br />r•��� {:rCs� �[sC+CaF^�LZICac—� 3 <br />l C-U <br />A roved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <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 />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />Signature of Applicant <br />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 />PW <br />