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r� �%���G� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 6/18/2010 <br />Public Works Permit #: PW1006-019 <br />Building Permit #; C1006-024 <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />- OWNER NAME AN9 ADDI� SS: APPLICANT NAME AND ADDRESS: <br />��. KOA KOLLARS � OWNER <br />P.O. BOX 12278 i <br />MILL CREEK �/�/`�%� ggpg2 <br />\. �- �y <br />PHONE: 42�8�9806 ��� �2�n"—�--�� �J PHONE: <br />TAX PARCEL ID # 00470700301000 SITE ADDRESS: 3920 NASSAU P �'' <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />LOTS 10-12 HEWITT HEIGHTS <br />LOTS 10-12 HEWITT HEIGI- <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 all rooftop downspouts to the side sewer. <br />6. The contractor must meet with the Public Works Inspector (call Randy Allen at 425-339-7403) to discuss potential <br />drainage routing prior to beginning the project. <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 �f 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 />Approved for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />Date <br />Date <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 THEREAFfER 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 />