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PUBL.IC WORKS PERMIT <br />City of Everett Public Works Department <br />; 3200 Cedar Street <br />C Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />SILVER LAKE CENTER LLC <br />1121519THAVESE <br />EVERETT WA 98208 <br />PHONE: <br />TAX PARCEL ID # 00574700100102 <br />Date: <br />Public Works Permit # <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 11208 19TH DR SE <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MIT FEE & PUBLIC WORKS FOR NEW TOWNHOME <br />BLDG 10 SILVER LAKE TOWNHOMES <br />2/25/2015 <br />PW 1502-020 <br />C1411-082. <br />S E PA 13-021 <br />$ 1, 505.00 <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 sevder per City Standard #'s 601, 602, 604. <br />5. Connect rooftop downspouts to the drainage system provided for this lot. <br />6. No dirt, mud, rocks or debris to be tracked onto roadway. <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or inspections. <br />Fees: <br />$1,440.00 traffic mitigation, $25 driveway, $20 PW inspection, $20 PW review <br />��%'�'�� �? -� �" •�'S.� <br />A proved for stru tion Date <br />.�� � � 11�1;��1_5 <br />L INSPECTIQN i - Date <br />roved as Constructed <br />. � �� �� � <br />MAR 2 6 2015 <br />. Y v� � :R�: �� - <br />_� � 'erm.. � �. rice� <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 />�'L v'i�a�'. ��.1,� i��tG �'� � ��''�� � ����" <br />Signature of Applicant �l 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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />-!��� � Vti <br />