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' PUBLIC WORKS PERMIT Date: f2/16/2013 <br /> �` �, . Public Works Permit #: PW1312-009 <br /> City of Everetl f'ublic Works Department <br /> � 3200 Cedar Street Buildinq Permit #; C1312-007 <br /> �`' � Everett, WA 98201 <br /> Planning Reference#: SS13-003 <br /> (425)257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRE55: <br /> HAACK BROTHERS I10MES HAACK BROTHERS HOMES <br /> 3922 87TH AVE NE 3922 87TIi AVE NE <br /> MARYSVILLE WA 98270 MARYSVILLE �n/p 98270 <br /> PHONE: PHONE: 4252902429 <br /> TAX?ARCEI ID# 00396900003802 SITE ADDRESS: 10123 MERIDIAN AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEV/SINGLE FAMILY DWFLLING <br /> PERMIT CONDITIOPlS <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 `I <br /> 4. Compty with the conditions of short plat 1202-17-06 (See altached) T � Ii <br /> 5. Connect side sewer per City Standard#'s 601, 602, 604. �,„_,_„ ,_ �,,_,_ ,._. ,_. 3; � <br /> 6. The contractor must meet with the Public Works Inspector to discuss a storm water s�slem�nor to be�inning�He • F <br /> ro ect. Call Rand Allen at 425339-74031Ca11 CIiK Lindman at 425339- �_�-= K `����- � �' <br /> P 1 Y � .- "•-: rn c�m c�o�� o � <br /> 7. Install erosion coNrol measures as determined by the Public Works ins�'ect��&�i as�lt fenc� si-r�4v balest;, � <br /> swales, or erosion blankets. � � � <br /> 8. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site;; " � <br /> No wasting of material is allowed on this building lot. � �.a� <br /> 9. No dirt, mud, rocks or debris to be lracked onto roadway. ,� �'� <br /> Your Pubiic Works Inspector is Cli(f Lindman. Ca11 4 2 5-3 39-74 04 for any,�u���ons andlou`,�ns+pect`ons. � `y � <br /> L�l� WN� MiL.12��1 � Vl[l1N <br /> y 1'-J!'J�J�•�_ , bl(�I .f_.O�G <br /> �r.�00Vtt-J�•1C� L�GG�v �'I <br /> r� `T�4,-.G�O�'�J rV c�C.� - rJ <br /> �., �a�� .o�, a��i= �-,'r � <br /> , ~f <br /> �• � <br /> TO POSTING �/�� ACKNOWLEDG6MENT OF CONDI1lONS <br /> The undersigned ownerlapplicant hereby agrees to holA and <br /> save harmless Ihe Cily of EvereU(rcm�ny and all r.laims toi <br /> damages, cosis,expenses,or ca�ses of oclion Ihnt may arise <br /> // because of installation and maintenance of Uie improvem^nt <br /> /�' .�-�_ /o y,3 or olher right-of-way use hereto applied for and fuAher ayrees <br /> �--�—�— lo remove same upon notice(rom Ihe City and to ieplace <br /> Approv d or Construction Date p lic pr erty dam ged t ereby. <br /> FINAL INSPECTION Dale I ,���� `� <br /> Approved as Constructed ign wre o(Applica Datc <br /> WORK AUTHORiZED dY THIS PERMR P1UST BE STARTED 1VIfHIN 180 DAYS OF DA P1tT I$ISSUED AND THEREAFTER IS TO DE DII.IGENTI.Y <br /> PURSUED TO COMPLETION. THIS PERMR MAY BE UNCELLED BY THE CIT!UPON ANY 570PPAGE OF WORK ON 1N15 PPOIECi OVLR 90 DAYS DIIRl�TION. <br /> Fr � c= <br /> ,. ,,, <br />