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PUBLIC WORKS PERMIT Date: 8/12/2013 <br />' City of Everett Public Works Department Public Works Permit #: PW1308-006 <br />�y 3200 Cedar Street Building Permit #; C1307-009 <br />Everett, WA 98201 Planning Reference <br />(425) 257-8810 <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />NWSC DEVELOPMENT LLC <br />1453 <br />maw <br />LAKE <br />LAKE WA 98258 <br />STEVENS <br />- <br />PHONE: 4253089646 <br />PHONE: <br />TAX PARCEL ID # 00464700006803 <br />SITE ADDRESS: 4105 OLYMPIC BLVD!III <br />DESCRIPTION OF PROPOSED WORK: <br />PW FOR SINGLE FAMILY DWELI ING UNIT <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 dig. TOLL FREE NUMBER 811 <br />4. <br />Stormwater per approved plan dated 8/12/13. <br />G <br />f� <br />5. <br />Connect side sewer per City Standard #601. <br />r r r- I-- r-- .— r• r• r• r• r• fi <br />ra <br />1 <br />6. <br />Connect side sewer per City Standard #'s 601, 602, 604. <br />—' <br />-� tTJ <br />W <br />7. <br />Install erosion control measures as determined by the Public <br />' C.�rlJ 3U]T 3: <br />Wor��inspecT6P�ucKrg§fIJ2sili fence-itrgw-bales, <br />swales, or erosion blankets. <br />8. <br />Install erosion control measures per City of Everett Standards <br />for small parcels. <br />9. <br />Remove erosion control measures upon completion of the project <br />prigr to final approval of the permit. <br />'t14 <br />10. <br />All excavated material from foundation, sidewalk and driveways sliall be hauled to an approved, permitted <br />site. No wasting of material is allowed on this building lot. <br />11. <br />No dirt, mud, rocks or debris to be tracked onto roadway. <br />j <br />Your <br />Public Works Inspector is Randy Allen. Call him at 425-339-7403. <br />—1,' v •• <br />►or;q estions endin sQ�etiori§• -- <br />i cJU '+.-• O .cam C. � ^- -. <br />ppl I��' CGC,, <br />R'•i:�CiGG�OCD G�oGV1 lam`• <br />Vl <br />n <br />—11>O <br />"3 <br />TO PosriNc - —= <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />l he undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon police from the City and to replace <br />public property damaged thereby. <br />Signature of Applicant <br />Date <br />WORK AUI-HORIZED 8Y THIS PERMIT MUST RE STARTED WTIION 180 DAYS OF DATE PERMIT IS ISSUED AND IERFAFTER IS TO 8E DILIGENTI.Y <br />PURSUED 10 COMPI MON. TIIIS PERMIT MAY 0E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DlJ$ON. <br />