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Date: 9/6/2012 <br /> PUBLIC WOR14S PEfZiVV�IT PublicVVorksPermit#: FW1209-003 <br /> � I . City of Everett Public Works Department guildinq Permit#; C1208-017 <br /> 3200 Cedar Street <br /> ���� �7������'� Everett, WA 98201 Planninq Reference#: <br /> •✓ . (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other 5: <br /> O`NNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SEATTLE PACIFIC FIOMES INC OWNER <br /> i;'(� �'��� EVERETT MALL WAY <br /> � '_�'_'':cTT WA 98204 <br /> PHONE: 4259532800 PHONE: <br /> 1 AX PARCEL ID# SITE ADDRESS: 10308 HOLLY DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC 422 <br /> 2 CAR GA2AGE OPTION <br /> ILOT B OF BLA 12-002 <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 Everect Design and Construction Standards <br /> and Specifications. <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br /> 4. Install erosion control measures as determined by the Public Works inspector, such as c�ilt fence, straw bales, <br /> swales, or erosion blankets. W <br /> 5. Install erosion control measures per City of Everett Standards for small parcels F <br /> 6. Install a Type I concrete driveway per City of Everett Standard#307. � <br /> 7. Contact the MUKILTEO Water District for connecting provisions for this building's sewer services. � <br /> 8. The conlractor must meet with the Public Works Inspector to discuss potential drainage routing prior lo � <br /> beginning the project. Call Cliif Lindman at 425339-7404. � <br /> h <br /> z <br /> p <br /> E� <br /> � <br />� ` O <br /> ( a, <br /> ro PosriNc � i.� <br /> ��7 7 � i.CKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless lhe City ot Everett from any and all claims for <br /> damages,wsts,ezpenses, or causes o(action lhat may arise <br /> 7 because of inslallation and maintenance of lhe improvemenl <br /> � / or other righ4of-way use herelo applied for and further agrees <br /> �i,'�� �r� /T'' 9' -1/z_ <br /> �-� / � lo remove sa e upo notice(rom lhc City and to replace <br /> i Approve- d for Gons«uction Date public pro ` dam�,��ed I/F/�ereby. <br /> .� �� � �,i j�, ,x:�_ �� /z l "�-- <br /> �{ SPECTION Date , <br /> Approved as Const�ucted �� Z� �� Signature of Appli�nt Date <br /> 1VORK AUTHORIZED BY THIS PERMR�4UST BE STARTED WITHIN]80 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COhiPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CifY UPON ANY STOPPAGE OF WORK ON THIS PRO]E�OVER 90 DAYS DURAT70N. <br /> ', , <br /> "� - :� - r,. . . ....,, . ... . .... <br /> t''�� <br />�. _ <br />.i; <br />� <br />�; ,� <br /> z'-�- + , <br /> '_XI' <br />