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GDate 7I23I2012 <br /> � PUBLIC 11VOaZK�s PEFZN'lIT PublicUVorks Permit#: PW1207-025 <br /> � City of Everett Public Works Department guildinq Permit#; C1207-016 <br /> 3200 Cedar Slreet <br /> �r'�'"'��-� Everett, WA 98201 Planning Reierence#: <br /> �.�� ' (425) 257-8610 <br /> Public Works Fee S: $ 25.00 <br /> Other 3: <br /> APPLICANT NAME AND ADDRESS: <br /> OVJNER NAME AND ADDRESS: OWNER <br /> HAACK BROS HOMES <br /> 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE: <br /> PHONE: 4252902429 <br /> TAX PARCEL ID# 00552300401205 SITE ADDRESS: 10613 HOLLY DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW SFR W/2 CAR GARAGE <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 Specifcations. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. One water service must be killed by the City- previously there was a dupler,so there is an existing line that may <br /> be used W <br /> 5. Sewer by Mukilteo Water District � <br /> 6. The contractor must meet�:�ith the Public Works Inspector to discuss potential drainage routing prior to � <br /> beginning the project. Call Cliff Lindman at 425-339-7404. <br /> 7. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, � <br /> swales, or erosion blankets. Q <br /> �7 <br /> � <br /> 1 � <br /> I a <br /> TO POSTI�IG " �z � ?�— ACKNOW�EDGEMENT CF CONDITIONS <br /> � �. The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the City of Everett trom any and all claims for <br /> . damages,costs,expenses, or causes of action that may arise <br /> � / � because of installation and maintenance of ihe improvemenl <br /> / �� or olher righ4of-way use hereto applied for and further agrees <br /> // 7'��L to remove same upon notice from the City and to replace <br /> qpprov�truction Date public pro rty dam d t ereby. <br /> � <br /> �/___�'� �� < �� � ��/ � ( <br /> .ii,�r-� �—�' ./�" �` �./ 1� <br /> FI SPECTION Date -'�'' <br /> Approved as Constructed ���Z� � ignat re of Applicant � Date <br /> WORK AUTHORIZ[D OY THIS PER(•iR MUST BE STARTED WITHIN 180 DAYS OF DATE L-Rt IT IS ISSUED AND 1NEREAFTEft IS TO BE DILIGENILY <br /> PURSUED TO COMPLEfION. Tt115 PERFIIT MAY 6E CANCELLED BY THE Cm UPON�NY PPAGE OF WORK ON THIS PRO]ECi OVER 90 DAYS DURATION. <br />