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PUBLIC V110RKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />SILVER LAKE CENTER LLC <br />11215 19TH AVE S E <br />EVERETT WA 98208 <br />PHONE: <br />TAX PARCEL ID # 00574700100102 <br />Public Works Fee $: <br />Other $: <br />Il,1�C�7����JIuL-IJ�u_l� � ` ��I <br />SITE ADDRESS: 11016 20TH DR SE <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MIT FEE & PUBLIC WORKS FOR NEW TOWNHOME <br />BLDG 20 SILVER LAKE TOWNHOMES <br />1 /8/2015 <br />PW1501-018 <br />C1411-116 <br />SEPA13-021 <br />$ 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 sewer 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 />$1440.00 traffic mitigation, $25 driveway, $20 PW inspection, $20 PW review <br />� � � U� G <br />JAN 1 2 2015 <br />C.' - Y O!' . ' F�RF:.� .�. <br />?ern�: �. "- -- dices <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 />� a�v�n,� ��i.lA �1 � - ,��� 1 ( f Z I 1 � <br />Signature of Applicant � 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 />