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VP PUBLIC ilORKS PERMIT Date: 5/7/2015
<br /> Public Works Permit#: PW1505-016
<br /> City of Everett Public Works Department
<br /> 3200 Cedar Street Building Permit#; C1505-008
<br /> RV' „errEverett, WA 98201
<br /> (425) 257-8810 Planning Reference#:
<br /> Public Works Fee$: $ 2,515.00
<br /> Other $:
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> MCCORMACK REBECCA
<br /> 1026 LOMBARD AVE
<br /> EVERETT WA 98201
<br /> PHONE: PHONE:
<br /> TAX PARCEL ID# 29051700207100 SITE ADDRESS: 1026 LOMBARD AVE
<br /> DESCRIPTION OF PROPOSED WORK:
<br /> PUBLIC WORKS FOR DUPLEX CONVERSION
<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. Storm water from new impervious surfaces shall not be discharged, through downspouts or other direct pipe
<br /> connections, into the combined sewer, including a lateral line or side sewer connected to the city's combined sewer
<br /> system as per EMC Chapter 14.08.180 H. ,m,°),-.1,.,,;r' :,:,,, :; '''......l.rr_ .-„! ?.: -."' :5
<br /> 5. It is the applicant/owner's responsibility to ensure that storm water ruts lff frorrl new impervious surfaces will bd 0.0.
<br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's Right-of-way
<br /> and improvements located therein. r4
<br /> 6. The sewer line under the garage has to either be rerouted or change per plumbing code. Q
<br /> 7. The owner/contractor must contact the City of Everett
<br /> Inspector Randy Allen 425-339-7403 prior to starting construction. 'W Z
<br /> Driveway/Asphalt apron No c&g $25.00 a 1---, yT,
<br /> C:7::5 n ,.1',F--`.cs,I:_'f,I—v r.,, {k}.03.C.*<.-9.1:-.,1 I-,
<br /> Erosion control $50.00 •., ;E:1;:,- ,,;..-.17.:, ,�; ;,vY,•'�', -,N, —>co
<br /> i
<br /> PW Plan review $20.00 �h4° '° Z
<br /> p...,.i°""b C3 a__>..__Y C>;.T'1�r..t']:?c">r,'=j G>> .....>�._>!� '
<br /> PW Site inspection $20.00 T ,T
<br /> Traffic mitigation for duplex a
<br /> (Credit for the single family) $4,800-$2,400= $2,400
<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> The undersigned owner/applicant hereby agrees to hold and
<br /> "INFfur
<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 /> v_��—�' id,
<br /> 20 or other right-of-way use hereto applied for and further agrees
<br /> �� to remove same upon notice from the City and to replace
<br /> 'p•Mt d for Cons pin rate public property damaged thereby.
<br /> FINAL INSPECTION Date Gf""v` • G 1— r--)( (S
<br /> Approved as Constructed Signa ure 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 /> 4I LJ C .
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