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PUBLIC WORKS PERMIT Date: 6/5/2015 <br /> i Public Works Permit#: PW1506-009 <br /> City of Everett Public Works Department <br /> g �l1" 3200 Cedar Street Building Permit#; C1504-001 <br /> Everett, WA 98201 4 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THERRES SAMUEL &SHARON SEVEN BROTHERS CONST INC <br /> 3509 OAKES AVE PO BOX 1736 <br /> EVERETT WA 98201 DUVALL WA 98019 <br /> PHONE: PHONE: 4258700600 <br /> TAX PARCEL ID# 00438185600500 SITE ADDRESS: 3509 OAKES AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONVERT GARAGE & EXPAND TO CREATE ADU <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. Contact the City of Everett Public Works Inspector Randy Allen at 425-339 74,0.3,_prior to starting onstru:ctioni< ndr.ri'=?' <br /> W <br /> with other inspection requests. _2-,_,5_3 <br /> .., -,-,. FL' <br /> 4 ,_., -•- <br /> 5. Keep City streets clean at all times, = r _ ,_; i--2c,_t )( <br /> 6. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direct pipe l- ,--:� h� <br /> connections, into a combined sewer, including a lateral line or side sewer dE nnected to the city's combined sewer ,'_,1:: C <br /> system as per EMC Chapter 14.08.180 H. ,; 6 h <br /> r.,11 I— <br /> !.,;: <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoffilfr it new impervious surfaces will be :r:- O <br /> managed on-site in a mariner that does not adversely affect neighboringpra0Agsi;gip id:rtg„ ergit i igOt-of-way --- <br /> and/or easements and the improvements located therein. rI— <br /> oG' " e _f :r. '_7 ev—' • 3r '—C7 .-. , .. <br /> :�'"d ,s:.t.'3'8 � ,,Jsi--s,asGI.i23C:t E.:; :'"'s Z[--� <br /> Driveway$25 --``"' a <br /> Plan review$20 <br /> Inspection$20 TO POSTING <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The 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 /> r of ` J2' _�r'� J 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 /> Ap••• q i for Cons7 Date public propert dam._ed thereby. <br /> c--� /0-3O.—/5— <br /> I NAL INS CTION Date / y/ --/A <br /> Approved as Constructed 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 /> /1 VI) •1,1AP A O .r".---; 'V n . < jig/1 <br />