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PUBLIC�'► �ORKS PERMI`r' Date: 3/19/2015
<br />Public Works Permit #: PW1503-021
<br />City of Everett Public Works Department
<br />3200 Cedar Street Building Permit #; C1503-022
<br />Everett, WA 98201 Planning Reference #:
<br />(425) 257-8810
<br />Public Works Fee $: $ 150.00
<br />Other $:
<br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br />HAACK BROTHERS INC
<br />3922 87TH AVE NE
<br />MARYSVILLE V�/q 98270
<br />PHONE:
<br />PHONE:
<br />TAX PARCEL ID # 00563235602500 I SITE ADDRESS: 1822 CHESTNUT ST
<br />PUBLIC WORKS FOR NEW SINGLE FAMILY DWELLING
<br />*SUBJECT TO FIELD INSPECTION*
<br />Contact Puget Sound Clean Air Agency for asbestos requirements.
<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 -�=� -
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<br />4. Connetct side sewer per City Standard # 601, 602, 604 - , : --: ,-: ;� , � ; -� -�-� �- � � � �{
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<br />5.Connect roottop downspouts to the drainage system provid��l for this IQ� �_: ;-;; ,T, �; � �;,,, �'- ' ''
<br />6. Install eroision control measures as determined by the Pub�ic Wc�rk�s'Irt:��ecfor, such as silt fence��straw bal�s;
<br />swales, or erosion blankets. ;=� �:_ �
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<br />7. No dirt, mud, rocks or debris to be tracked onto the roadway. :;::, ;;__; �'
<br />8. No building materials to be stacked onto roadway. �'''.. --
<br />9. Contractor must contact City of Everett Inspector Randy Allen��
<br />425-339-7404 prior to starting constr�iction. '����
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<br />Construction Permit Fess :�:::, �� kI:F Fj'F 'I�F if4 {'•H l T7 .FJ;h �..r1 1}�t ^Tj '"^� �-` " i%;� j\�1
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<br />---Eriosion control plans(other) $50.00 � '��} �� � �� � � �`=� �_ - __ �--- _ " `�
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<br />---Driveway/concrete Apron/Curb cut residen $25.00 '°-' """' ` ' `-' `=' '�' `�" ` `�'
<br />---Land/Lot machine clearing (Residential) $35.00
<br />---PW plan review (EST) $20.00
<br />---PW Site inspection (EST) $20.00
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<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 />/ Z �/� � J 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 />Appr e�CVfor Constru ti � � Date public p operty da aged thereby.
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<br />FI AL INSP TION Date 1Z —lU l 5
<br />Approved as Constructed � na ure of Applica� Date
<br />WORK AUTf10RIZED BY THIS PERMIT MUSI- BE STARI-ED WITHIN 1H0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 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.
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