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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />� y ; 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />SILVER LAKE CENTER LLC <br />11215 19TH AVE S E <br />EVERETT Wq 98208 <br />PHONE: <br />TAX PARCEL ID # 00574700100102 <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR NEW TOWNHOME <br />BLDG 9 SILVER LAKE TOWNHOMES <br />Date: 11 /18/2014 <br />Public Works Permit #: PW1411-029 <br />Building Permit #; C1411-029 <br />Planning Reference #: <br />Public Works Fee $: $ 1,505.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 11210 19TH DR SE <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, G04. <br />5. Connect rooftop downspouts to the drainage system provided for tf�is 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 />TRAFFIC MIT FEE $1440 <br />DRIVEWAY $25 <br />PW REVIEW $20 <br />PW INSPECTION $20 <br />� � � U l5 <br />MAR 2 6 2015 <br />C i"i'Y Ot `� ER_r�: ; i. <br />E'erm�t ��-� �✓ices <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 />ti�, �� �-ti,,l 1�1�,; �� ��.���i t, � I� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFrER IS TO BE DILIGENTLY <br />PURSUED TO COMPLE7ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />I_ , �.�, <br />