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PUBLIC WORKS PEIZIVIIT Date: 11/18/2014 <br />Public Works Permit #: PW1411-032 <br />City of Everett Pubiic Works Department <br />� 3200 Cedar Street Building Permit #; C1411-026 <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 1,505.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT 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 />PHONE: <br />SITE ADDRESS: 11216 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, 604. <br />5. Connect rooftop downspouts to the drainage system provided for this fot. <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 />�.�z��z������ ,� �z s``�� <br />Approved for Cor�s�ruction Date <br />\ <br />— — � <br />I AL INSPECTIO <br />Approved as Constructed <br />—��-15 <br />�� <br />MAR 2 6 2015 <br />Ci"l.'Y O1 ; �:; �,a�-. � i. <br />uenr.�r. ��.�.:: �rices <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 />1,�,��-, .��a ,��<<�_� ,,_ �.l ��, f � r; <br />Signature of Applicant � 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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />)' v`-' <br />