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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 />11215 19TH AVE S E <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 �T �,"� <br />Date: 5/6/2015 <br />Public Works Permit #; PW1505-Q14 <br />Building Permit #; C1505-005 <br />Planninq Reference #: SEPA13-Q21 <br />Public Works Fee $: $ 1,505.OQ <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />TLiI�C�I <br />SITE ADDRESS: 2026 112TH PL SE <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 />d fQr CoiqStr�n <br />� ��� <br />1 , <br />L INSPECTIO <br />Approved as Constructed <br />�f��� i J <br />D,�te <br />��� _ <br />Date <br />� � �5+ � jJ'�41 <br />� i <br />MAY 2 2 2U+� �I:.,� <br />��...,. � - �-, � : -. ; <br />�.r v o_� �v �:r.,_ , <br />�['ern;�� `;�� Y•ices <br />ACKNOWLEDGEMENT OF CONQITIONS <br />The undersigned owner/applicant hereby agrees to hoid 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 />1������, �uf ,�,��i�,��. ��I�� 11� <br />Signature of Applicant � Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1H0 DAYS OF DATE PERMIT IS ISSUED ANQ THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PGRMIT MAY BE CANCELLEQ BY THE CITY UPON ANY STOPPAGG OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />i� <br />�/ <br />