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PUBLIC WORKS PERMIT Date: 1 2/1 212 01 2 <br /> Public Works Permit#: PW1212-004 <br /> City of Everett Public Works Department guildinp Pe�mit#; C1210-006 <br /> 3200 Cedar SVeet <br /> �"�`� Everett, WP 98201 Planning Reference#: <br /> (425) ?57-8810 public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SEATfLE PACIFIC HOMES <br /> 120 SW EVERETT MALL WAY <br /> EVERETT' WA 98204 <br /> PHONE: 4259532800 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 10316 DAKOTA WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW SFR <br /> LOT 2 VIRGIL SHORT PLAT <br /> PERMIT CONDITIONS <br /> 1. All calis for inspection shall be made 24 hours in advance. <br /> 2. All work sfiali be pertormed in accordance with lhe permii 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. Pave driveway <br /> 5. Infiltration per approved construction plan. W <br /> 6. Sewer connection per City of Everett standards. , _ .„ � �„{ <br /> 7. Erosion control per City Inspector. ' ' ';_�� ' �—;���� � � <br /> rr� <br /> ij /y� <br /> F+ti <br /> O <br /> � <br /> z <br /> `�;;.� o <br /> " �� �' � <br /> , �� <br /> :, ���.., <br /> �'�����.� � <br /> ���,k �.� :,��,��==.�.,��;�._, ;�:; ._ O <br /> �' S �" <br /> � <br /> TO POSTING , �Z I3 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned o�•+ner/applicant hereby agrees to hold and <br /> save harmless lhe Ciry of Everetl from any and all claims for <br /> damages,cosls, expenses, or causes ot aclion that may arise <br /> l� because o(installalion and maintenance of Ihe improvement <br /> ��_j� ,jL _l� or other right-of-way use herelo applied for and further agrees <br /> , to remove same u n notice from the City and to replace <br /> Approved for Construction Date public p peny da ged thereby. <br /> � ' c—�`—�—� l <br /> � �� � .Z-/.�`�� <br /> LINSPECTION Date � ��_�3 <br /> A�proved as ConslrUcted Signature of plicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAR fED WITHIN Id0 DAYS OF DATE PERh1IT IS ISSUED AN7 TH[R[AFTER IS TO�E DILIGEMIY <br /> PURSUF.D TO COP1PLEf[ON. THIS PERMIT MAY 6[UNCELL[D E3Y TH[CIIY UPOIJ ANY STOPPAGE OF 1'JORK ON THIS PRO][Ci OVER 90 DAYS DURATION. <br />