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PUBLIC RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />• Date: 4/23/2015 <br />Public Works Permit #: PW1504-053 <br />Building Permit #; C1503-007 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />A & V HOME IMPROVEMENTS LLC <br />A & V HOME IMPROVEMENTS LLC <br />506 46TH ST SE <br />506 46TH ST SE <br />EVERETT WA 98203 <br />EVERETT WA 98203 <br />PHONE: <br />PHONE: 4253530531 <br />TAX PARCEL ID # 28041300301000 <br />SITE ADDRESS: 9924 HOLLY DR <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR NEW SINGLE FAMILY DWELLING <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 F -- <br />4. The driveway cut for this new driveway shall be installed per City of Everett standard #307. Street shall be saw <br />cut far enough out to accommodate forms for gutter installation. <br />5. See Mukilteo Sewer District for sewer connection approval and charges. <br />6. City records indicate that the water service for 9912 -Holly Dr may run across this lot. Care should be taken when <br />working in this area. <br />7. Contact the City of Everett Public Works Inspector Cliff Lindman at 425-339-7269 prior to starting construction. <br />8. Drainage work to be done per plan submitted by Anstey Engineering. <br />prov for ons ction Date <br />p <br />-I <br />FI 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 removes e upon notice from the City and to replace <br />public pp y damaged thereby. / i <br />Signature of Applicant <br />1 <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 />Rl� <br />