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PUBLIC WORKS PERMIT Date: 12/28/2010 <br /> Public Works Permit#: PW1012-Q06 <br /> Ciry of Everett Public Works DepaRment <br /> �, 3200 Cedar Street Buildinp Permit#; C19t2=906 <br /> Everett, WA 98201 Planninp Reference#: �'�'� <br /> (425) 257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other S: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME ANO ADDRESS; <br /> ADAIR ENTERPRISES lLC <br /> 17032 35TH AVE SE <br /> BOTHELL WA 98012 <br /> PMONE: 4257431718 PHONE: <br /> TAX PARCEL ID K 00537900001504 SITE ADDR�Ss: 10932 PAINE FIELD WY <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC 405 <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 Specifications. <br /> 3. Call Location Underground Service 48 hrs before you di . 877 <br /> 4. Connect side sewer per City Standard N's 601, 602, 604. W <br /> 5. Connect rooftop downspouts to the drainage syslem provided for this lot. <br /> 6. Install erosion control measures per City of Everett Standards for small parcels � <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. � <br /> 8. No building materials to be stacked on sidewalk/roadway and sidewalklroadway to be kept clean and open fur � <br /> pedestrian travel. O <br /> 9. Adjust water meter box 1" above sidewalk grade. <br /> 10. Contact the Mu' "'�o Water Distric[for connecting provisions for this building's water and sewer services. h <br /> 0 <br /> • � ["i <br /> / . 0 <br /> J�wlGrz-do� re -csrc� a <br /> eu /�u� �aC)S-0�5 <br /> TO POSTING ' ��// � ACKNOWIEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City o(Everetl from any and all claims for <br /> damages,cosls,expenses,or causes oi action thal may arise <br /> because of installation and maintenance oi the improvement <br /> or other right-of•way use herelo applied for and(uAher agrees <br /> A roved for ConStruCtion Date to remove same upon notice from ihe City and to replace <br /> PP public propeAy damaged thereby. <br /> NSPECTION � Date <br /> Approved as Constructed g"'�Q��Z Signature oi Applicant Uate <br /> WORK AUTMORIZE�BY TMIS F'ERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMCf IS ISSUED AND TMEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS VERMIT MAY BE CANCELLED BY THE CffY UPON ANY STOPPAGE OF WORK ON THIS PROIEQ-OVER 90 DAYS DURATFO� <br /> f' <br />