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PUBLIC WORKS PERMIT Date: 2122/2012 <br /> City of Everett Public Works Departmenf Public Works Permit#: PW 1202-015 <br /> � 3200 Cedar Sireet Building Fermit #; C1111-011 <br /> Everen, WA 982ot Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 110.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BUSTARD CUSTOM CONST INC <br /> PO BOX 1243 <br /> MARYSVILLE WA 98270 <br /> PHONE: 42587G6551 � PHONE: <br /> TAX PARCEL ID# 00571700100402 SITE ADDRESS: 5105 CHINOOK DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE <br /> 1=RONT SETBACK 10' (REV II 11-017) <br /> SHORE ACRES ADDN LOT <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. Ail work shall be performed in accordance with the permit and current Gty 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. All site work, drainage work, and erosion coNrol measures shall be in compl�ance with ihe"Drainage Report . . <br /> Chinook SFR"and associaled plans prepared by Joseph M Smeby, P E dated 2-10-2012 and lhe Public Works � <br /> Inspecmr's duection in the(ield. Your Public Works Inspector, Randy Allen, may be reached at 4?.5 339J403. " ��� � <br /> 5. Install appropriate erosion control BMP's pnor to begining site work�� _ � ; .�;_ ; � ' _„ <br /> 6. Connect side sewer per City Slandard #'s 601, 602, 8 604. ;^ � � ' `' '=' � -- � <br /> 7 No dirt, mud rocks, or debris shall be tracked on;o roadway. Keep City street swept 8 clean at all hmes during; � <br /> construdion. ;, <br /> 8. Pave dnveway (rom front property hne out to strcet paving. b> ; Q <br /> 9 A res�denhal fire sprinkler system in accordance with NPP� 13D is required lor Ihis slrucWre. Water Service and , h <br /> Oackflow prevention shall comply wity City standard plan 57.4A 8 524B ;,. � <br /> �., ��_ <br /> . �. .., � ; <br /> - - - - - �. ,., ` - E„� <br /> - - - - , �:=:_>�:;. <br /> ' ;.� , � <br /> , , - , , r `, :_ . , <br /> - � <br /> a <br /> TJ POSTING � ��`���� <br /> ACKNOWI EDGEMENT OF CONDITIONS <br /> The undvisigned ownedapphcanl hcreby agrees to hotd and <br /> — _ ,ave harmless the Ctly of Everetllrom any and all claims lor <br /> damages,cosls,expenses, or causes ol actan Ihat may arise <br /> /'f � �� �f� because al mslalla6on and maintenance of Ihe impiovement <br /> bN� or othrr ngh6 0l way use hercto applied lor and lurther agrees <br /> !1 ro . for onstfUCho Dale to remove same upon notice Irom Ihe Gty and to replace <br /> PP � � pu6lic property da ged Iherehy <br /> � �s�— ��_ ��- � 2 //n <br /> F NAL INSP TION Dale ��� �`� <br /> Approved as ConS�rUCted Signalure of llpplir,ant D��e <br /> WORK AIiiHOHIIFD BY I1115 VfRM�T IdUST OE SIANIED WIIMIN IHO DAYS OF DATf Pf.RMIT IS IStiUED AN�1HEREAFTfR IS 10 H[ DILI(iCNiLY <br /> PURSIIi D TO COMVLL710N. 1HI5 PCRId1T MAY Bh UNCCI I I I)HY IHE QTY UPON ANY STOFPAGf Of WORK ON THIS PROJCCT OVER 90 QAYS DURATION. <br />