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PUBLIC�ORKS PERMIT Date: 6/29/2016 <br /> Public Works Permit#: PW1606-047 <br /> City of Everett Public Works Department <br /> ��� 3200 Cedar Street Parent Permit#: B1605-036 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FREDIN WILLIAM L & LINDA A FREDIN WILLIAM L & LINDA A <br /> 1228 WETMORE AVE 1228 WETMORE AVE <br /> EVERETT �/�/q 98201 EVERETT Wq 98201 <br /> PHONE: PHONE: 4254788491 <br /> TAX PARCEL ID# 00409422903000 SITE ADDRESS: 1228 WETMORE AVE <br /> SITE WORK FOR CONSTRUCTION OF NEW RESIDENTIAL GARAGE <br /> PROPERTY CORNERS MUST BE STAKED TO VERIFY SETBACKS UPON INSPECTION. <br /> CHURCH & LA MOURES SUPPL BLK <br /> 229 D-00 - BLK 229 LOT 30 & N 7FT <br /> OF LOT 31 <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. No dirt, mud, rocks, or debris to be tracked onto roadway. "::: ' ' <br /> ,:. <br /> 5. Stormwater from new impervious surfaces shall not be discharged, throug.h.., __: ,,_ - : -;,..--- - ��� ' <br /> . N 't.1=5 L 1 ��+�y <br /> downspouts or other direct pipe connections, into a combined sewer, includin�� lat�rai � r. �` ;� o� w <br /> line or side sewer connected to the City's combined sewer system as per EM�Chapte� _ ��" [� <br /> �-. <br /> 14.08.180 H. ;:==, , � <br /> 6. It is the applicant/owner's responsibility to ensure that stormwater runoff from new �:�° <br /> impervious surfaces will be n�anaged on-site in a manner tliat does iiot adversely �ffect ; � <br /> neighboring properties, induding the City's right-of-way and/or easements and th�. ; O <br /> improvements located therein. � <br /> 7. The contractor must meet with the Public Works Inspector to discuss potential <br /> drainage routing prior to beginning the project. Call Randy Allen at 425-339-740� ; �; ����` ���� ' <br /> �,.�._,�.,�, _�__, <br /> 8. City records indicate a section of this building's side-sewer will be under the fc�otpri�� ' ' ' �`_��`�`���'_! 1- O <br /> ':, .� b_.��.��1 i—'`�'•.3 <br /> of the proposed building. Replacement of the side sewer pipe material be ne�e�s�'ary to -- - ''� "°'-'a �-" - <br /> meet the uniform plumbing code. ' E..,� <br /> ,_.. .._._: T/� <br /> L V1 <br /> Public Works Permit Fee Breakdown: �o,� �� � � �C� ^� ��� � <br /> PW Plan Review..............$20.00 �� ��� �����_.�..�.�._.�..�,_ A-I <br /> PW Site Inspection..........$20.00 <br /> Minor Project...................$25.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> � / _� _ City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Appr ved for Construction Date remove same upon notice from the City and to replace public property <br /> ���U ��� Q� �`�_`� damaged there y. <br /> FINAL INSPECTI N Date l <br /> �• �'-(�/�----- � - 3 � ( � <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF7ER 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 /> 7rl/�-�--� <br />