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Pr <br /> • Dato 4/6/2007 <br /> PUBLIC WORKS ; (�;}. 14'1L Public Works Permit# PN0704-009 <br /> PERMIT =:.. .18t6 <br /> k �i-i G.I.Jf�_: <br /> CT Building Permit# C0704-015 <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street Planning Reference# <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 5-4j,2pi �F <br /> $20.010,' Guarantee$ <br /> •/ F-., <br /> OWNER NAME APPLICANT <br /> AND ADDRESS: CKH HOME � ANDADDR <br /> In ,- JOREPA WIT'IVIAN <br /> 3526 CEDARDALE RD .i SEWER ib <br /> MOUNT VERNOPJ IATA syscgv $192.96.01 <br /> .. <br /> br' t.h' $1qI� <br /> PHONE: ` PHONE: f^ 3607088,6_;6 <br /> TAX PARCEL I.D.# PROJECTADDRESS: <br /> 2'305090010180 , <br /> DESCRIPTION OF <br /> PROPOSED WORK: NEW MFC, HOME <br /> PERMIT CONDITIONS SEE AT_77:..ET <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 W <br /> 4. Connect rooftop downspouts to the drainage system provided for this lot, <br /> 5. The contractor mustmeet with the Public Works Inspect.or to discuss potential <br /> drainage routing prior to beginning the project. <br /> 5. Install erosion control meazures as determined by the Public Works inspector, such <br /> as silt fence, straw bales, swales, or erosion blankets. O <br /> 7. No dirt, mud, rocks or debris, to be tracked onto roadway. <br /> 8. Pave driveway from the front. property line outto the street. paving. <br /> 9. A sprinkler systetrt is required for this building in compliancen with the <br /> requirements of NFPA Standards 13D. <br /> 10. If installation of the nem driveway will include conzt.ruct.ion sof a retaining wall O <br /> greater that 4' in height, an engineered design, permit ;and review by the geologist <br /> will be required. <br /> SEWER CONNECTION TO FORCE MAIN: <br /> a. Install one SPG Aurora Pump (Itadromatic Pump Grinder) having a 1-1%2" discharge am' <br /> a 5" impeller able to discharge 5GPM at 97' of hexad <br /> b. Force main to be 2" pipe discharcling t.hroucfh _, 2" sleave tapped into the 30 ductile O <br /> iron portion of the South End newer Interceptor a <br /> c. Tap t,_3 be made by Speer Tapz:, or by a contractor of the City's choosing <br /> d. Install a 2" shutoff valve at the 30" line <br /> e. Install a 2" check valve atpump and at the main <br /> f. Install a 2" shutoff valve at pump to allow check valve .servicing <br /> g. Install a 5.5 gal sewage elector basin with Sample:{ st.e.�.l cover <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> $ jsave harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> Appr for Construction DatJ because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public <br /> FINAL INSPECTION property damaged therelty. <br /> Approved as Constructed Date <br /> i <br /> nature of App l cant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> EPWP(7/06) DATABAR,INC. <br />