7 FERN RD A 2018-01-02 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: 1 /21 /2015 Public Works Permit #: PW1501-046 Building Permit #; C1501-003 Planning Reference #: Public Works Fee $: $ 2,465.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: HAACK BROTHERS INC HAACK BROTHERS INC 3922 87TH AVE NE 3922 87TH AVE NE MARYSVILLE WA 98270 MARYSVILLE WA 98270 PHONE: PHONE: TAX PARCEL ID # 28040100403400 SITE ADDRESS: 7 FERN DESCRIPTION OF PROPOSED WORK: PUBLIC WORKS FOR NEW DUPLEX PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2 All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Connect side sewer per City Standard #'s 601, 602, 604, 5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bale£;, swales, or erosion blankets. 6. No dirt, mud, rocks or debris to be tracked onto rgadwaay 7. No building materials to be stacked on sidewalOtjdadw-apnd3{devfglk/rgadwz!yito I:Rkept�pen ilci pedestrian travel. z �n 8 Per approved plan dated 111612015. _ c 9 Install sprinklers per std #524A r� r� Your Public Works Inspector is Randy Allen. Call 42 -339-7403 for any questions and/or inspections. Fees: $2400.00 traffic, $25 driveway, $20 PW revib*;20 PW inspecton No mr e.-, .. �. r cam*+ C•, n �, %-, Fs. can v. � m �S � =' ui TO POSTING ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, sts, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees pproved f �C struchon Date to remove same upon notice from the City and to replace public property damaged thereby. e FINAL INSP CT Cate Approved as Constructed Sig tur of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED IVITHIN 180 DAYS OF DATE'ERt IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERM FT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATIO r.