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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 />Date: 5/3/2012 <br />Public Works Permit #: PW1205-004 <br />Building Permit #; C1203-007 <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />J JONES INVESTMENTS LLC <br />SAME <br />2216 204TH ST NW <br />STANWOOD WA 98292 <br />PHONE: 4253089646 <br />PHONE: <br />TAX PARCEL ID # 0050060003203 <br />SITE ADDRESS: 5410 BROADWAY <br />DESCRIPTION OF PROPOSED WORK: <br />NEW SFR <br />Lot 2-Shortplat 1202-10-007 <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. <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. <br />No wasting of material is allowed on this building lot. <br />10. No dirt, mud, rocks or debris to be tracked onto roadway. <br />11. Pave driveway from the front property line out to the street paving. <br />w <br />C <br />h <br />C) <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 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 />Appr ed for Const ion ate bli Vperty damaged thereby. <br />i <br />FINAL INSPECTION Date <br />Approved as Constructed XQ <br />Sig- ture of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE P MIT 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 />