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� �� � � <br />City of Everett Public Works Department <br />" , ,.,�;�-,�. 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 />Date: 4/1 /2015 <br />Public Works Permit #: PW1504-008 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 1926 112TH PL SE <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MIT FEE & PUBLIC WORKS FOR NEW TOWN HOME <br />C1411-031 <br />SEPA13-021 <br />$ 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 />$1,440.00 traffic mitigation, $25 driveway, $20 PW inspection, $20 PW review <br />for <br />\ <br />FINAL INSPECTIO�1 � <br />Aonroved as Constructed <br />, a� <br />1��" ��O <br />Date <br />�R� `� � ��� ��, �C' r°' ",; <br />� � �.LJ L� lJ L: '��"; ; <br />i� �}' <br />�iP� A � �!� I� � iw�J/ <br />,�f,-,,, . ,.��.-,. <br />'...._ �; ` . 1a'� _ _ <br />I-`��i��?__. _ .. ��l.N:: <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 ofthe improvement <br />or other right-of-way use�.i�reto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public pro�''er� darr}a�e� thereby. <br />Signature of AppJi�ant <br />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 CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />