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PUBLIC WORKS 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 />SILVER LAKE CENTER LLC <br />1121519THAVESE <br />EVERETT Wq 98208 <br />PHONE: <br />TAX PARCEL ID # 00574700100102 <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR NEW TOWNHOME <br />SILVER LAKE # `-� <br />Date: 5/6/2015 <br />Public Works Permit #: PW1505-013 <br />Buildinq Permit #; C1411-038 <br />Planninc� Reference #: <br />Public Works Fee $: $ 1,5Q5.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 2024 112TH PL SE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance, <br />2. A�I work shall be performed in accordance with the permit and current City of Ever�tt 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. w <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or inspections. E"'� <br />� <br />Fees: <br />$1,440.00 traffic mitigation, $25 driveway, $20 PW inspection, $20 PW review <br />for� <br />FINAL INSPE <br />Approved as <br />� 1 ��/ �J ���1 <br />tion /Date ^ <br />_ —/ _/� <br />' Date <br />ructed <br />� -1 n I <br />1 �; 1J1 i� � ! <br />' `-: <br />MAY 2 ? �U15 ! <br />(... <br />.�_ �Y c� ����:-- : <br />:'ern.. :�ice� <br />ACKNOWLEDGEMENT QF 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, ar causes of action that rnay 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 />� � <br />1,, ti��,�, ��u� �j �;���,.� ��Iz< <,� <br />Signature of Applicant � Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF�ER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEi�ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION, � <br />'/ � <br />� "V <br />