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�E E • T <br />PUBLIC WORKS PERNIIT <br />City of Everett Public N�orks Department <br />3200 l:edar Street <br />Everett, WA 96201 <br />(425) 257-8810 <br />G ate: 02/07/2011 <br />Public Works Permit #: PW 1102-003 <br />Buildinq Permit #; i,1101 •008 <br />Planninp Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />HPACK BROS CONST INC <br />3922 87TH AVE NE <br />MARYSVILLE �n/q 98270 <br />PHONE: q253342790 PHONE: <br />TAX PARCEL ID # 00552400601400 SITE ADDRESS: 10122 MONTANA RD <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 406) <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be pertormed 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. Connect rooftop downspouts to the drainage system provided for this lot. <br />5. Instail erosion controi measures per City of Everett Standards for small parcels. <br />6. All excavated malerial from foundatic.i, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is al!owed on this building lot. <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. No building materials to be stacked on sidewalklroadway and sidewalk/roadway to be kept clean and open for <br />pedestrian travel. <br />9. Adjust water meter box 1" above sidewalk grade. <br />10. Contact the Mukilteo Sewer Dislrict for connecting provisions for this building's sewer services <br />YOUR PUBLIC WORKS INSPECTOR IS CLIFF LINDMAN 425-339-7404. <br />j0 �C�Si c�16 �1-2�—I <br />�/��� z � 1-�/ <br />Appro ed for Construclion ,_, Date <br />'ECTION `�� Date <br />as Constructed �' —/C — <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o�vnedapplicanl hereby agrees lo hold and <br />save harmless the City of Everetl from any and all claims for <br />damages, costs, expenses, or causes of action Ihat may arise <br />because of installation and mainlenance nf the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon nolice fro�n lhe City and to replace <br />WORK AUTHORIZED BY THIS PERPIIT h1U5T BE STARTED WITHIN I80 DAYS OF DA <br />PURSUED TO COPIPLE�'ION. l"HIS PER�11T �tAY BE CANCELLED BY THE CITY UPON <br />of Applicanl <br />Date <br />IS 155UED AND THEREAFTER IS TO BE DILIGENTLY <br />'AGE OF WORK ON THIS PROIECT OVER 90 DAYS DURATION. <br />ti <br />