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PUBLIC UUORKS PERMIT Date: 2/5/2016 <br /> Public Works Permit#: PW1602-013 <br /> City of Everett Public Works Department <br /> tea see ¢ -p 3200 Cedar Street Parent Permit#: C1601-014 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ADAIR ENTERPRISES LLC ADAIR ENTERPRISES LLC <br /> 17032 35TH AVE SE 17032 35TH AVE SE <br /> BOTHELL WA 98012 BOTHELL WA 98012 <br /> PHONE: 4257431718 PHONE: 4257431718 <br /> TAX PARCEL ID# 28050800204700 SITE ADDRESS: 7519 BROADWAY <br /> NEW SFR RB1601-001 -ADAIR PLAN1999 <br /> SEC 08 TWP 28 RGE 05 <br /> SP 1202-2012-003 <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. The builder must provide inlet protection for the infiltration system on this lot to <br /> prevent sediment from entering the system. <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 6. Connect rooftop drainage to the drainage system provided for this lot. <br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Driveway to be paved with concrete or asphalt as indicated on the site plan. c <br /> 9. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-740411 <br /> ; L i , Eirl <br /> prior to starting construction and with other inspection requests. See attached to request ' <br /> an inspection. MA€�F 0 9di?Cid <br /> .✓� <br /> Public Works Permit Fee Breakdown: k1PW Plan Review$20.00 10 <br /> TI CITY <br /> PW Site Inspection $20.00 ® " ! Permit Services <br /> �� <br /> Minor Misc. $25.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 02—`Fr causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> A. (oved fo C.nstruction Date remove same upon notice from the City and to replace public property <br /> )1 - I 9_/� damaged t%h�e/reby. <br /> l 14 /171/ 4GFINAL INSPE TIO Date <br /> Approved as Constructe l Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />