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II <br />PUBLIC 6,aORKS PERMIT <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 />CRMA INVESTMENTS LLC <br />PO BOX 5222 <br />Date: 5/21 /2015 <br />Public Works Permit #: PW1505-036 <br />Building Permit #; C1505-015 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />ADVANCE REMODELING <br />$912W1QN§1iST ST <br />LACEY WA 98509 SHORELINE WA 98177-2 <br />245 <br />PHONE: 3607019985 PHONE: <br />TAX PARCEL ID # 00467300500700 SITE ADDRESS: 2417 CHESTNUT ST <br />DESCRIPTION OF PROPOSED WORK: <br />REPR FIRE DMGD SFR&NEW DET GAR <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. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direct pipe-,,,) 4 <br />connections, into a combined sewer, including a lateral line or side sewe,L,opn te�...to t4 Qity'.s comt�.in�.d sewer <br />system as per EMC Chapter 14.08.180 H. ~+ <br />1 r� <br />..Z- -...:� fir? _; r_" 3 <br />nr <br />5. It is the applicant/owner's responsibility to ensure that stormwa er runof r i new impe iq.M surfaCps will <br />managed on -site in a manner that does not adversely affect neighboring prop&ties, including the City's fight -of 3 ±ay <br />and/or easements and the improvements located therein.; <br />Public Works Fee Breakdown: r;; Z <br />Plan Review $20.00 -J ; Q <br />Inspection $20.00 r.; <br />Driveway $25.00 z3gt rt. Qrj. PS ri •e4 pif .� rq � S " �1 <br />•r•%!w4 L•n C) r'a r•J r.a Kam) qg* KS L'n <br />c-3 Ul .a <br />—{ P :L4 <br />�­3 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <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 damaggAthereby. <br />Signature of Applicant <br />/7// <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TH <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON <br />F l-e <br />TER IS TO BE DILIGENTLY <br />PROJECT OVER 90 DAYS DURATION. <br />