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PUBLIC WORKS PERMIT <br />Date: <br />5/3/2012 <br />" , .,� „ . <br />City of Everett Public Works Defy#riiant -'.iilaf�.j <br />; 9 . Public Works Permit #: <br />; >1L <br />PW1205-002 <br />3200 Cedar Street <br />i':_Building Permit #; <br />C1203-006 <br />Everett, WA 98201 <br />::Planning Reference #: <br />Public Works Fee $: <br />$ 25.00 <br />Pfn <br />`a' Other $: <br />OWNER NAME AND ADDRESS: 1 <br />?iL.i•iJa <br />�p°" <br />IE- <br />:f1.1.4 'i_j1,iy <br />APPLICAfT NAME AND ADDRESS: <br />_,,: <br />J JONES INVESTMENTS LLC ' <br />�'L"' <br />SAME —GO � %0 <br />2216 204TH ST NW <br />"T't <br />" 5� -J <br />STANWOOD WA 98292 <br />� ss L <br />u` <br />'r3 <br />_ 2 a'; I00 7 <br />PHONE: 4253089646 j- <br />'-'i-: <br />?n <br />PHOe,ioi1_; <br />TAX PARCEL ID # 00500600003204 <br />-"'` "` <br />''q"` r"`"' <br />wSIT�ADt1RESS: 5412 BROADWAY <br />DESCRIPTION OF PROPOSED WORK: <br />Qii l <br />NEW SFR <br />Lot 3-Shortplat 1202-010-07 <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. W <br />6. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to <br />beginning the project. Call Randy Allen at 425-339-7403 <br />7. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankets. <br />8. Remove erosion control measures upon completion of the project prior to final approval of the permit. �= <br />9. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. C <br />No wasting of material is allowed on this building lot. h <br />10. No dirt, mud, rocks or debris to be tracked onto roadway. Z <br />11. Pave driveway from the front property line out to the street paving. C <br />N <br />i� <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 />S ZO/ 2 or other right-of-way use hereto applied for and further agrees <br />ed for Con ru i n Dat to remove same upon notice from the City and to replace <br />blic property damaged thereby. I <br />FINAL INSPECTION Date I <br />Approved as Constructed Si o 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. <br />