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PUBLIC WORKS PERMIT <br />Cily c( [vereft �ublic Works Depai;ment <br />32G0 Cedar Street <br />[vereit `A'A 98.]01 <br />1�2�' ?57-Bf31G <br />OWNER NAME AND ADORESS: <br />SEATTLE PFlCIFIC HOMES <br />i20 SW EVERETT MAII WAY <br />PHONE 4259532800 <br />�_ <br />ITAxPARCELtDa 28051800302200 <br />IDESCRIPTION OF PROPOSED WORK: <br />I?UBUC VUORKS FOR N�W HOUS[ <br />Date 10l7I20'4 <br />Public Works Pernut# PW141G G15 <br />Bwldinq Permd #. C1409•O�d <br />Planninq Reference # <br />Pubhc Works Fee $ � 65 00 <br />Oiher $ <br />APPLICANT NAME AND ADDRESS: <br />SEAiTLE PACIFi'; NOMES <br />120 SW EVER[TT 1�1A1L VJAY <br />PHONE: 4259532800 <br />SITE AUDRESS 9230 4TH AVE SE <br />CASCADE PARK SU813-00 <br />?ERMIT CONDITIONS <br />1 A11 ca�ls for inspect�on shail be made 24 hours in advance <br />� All �vork shall be performed m accordance w�th the permit and curre�l Cit, o( Everett Design and Construction Standarr.s <br />and Spec�ficatior,s <br />3 Call LocaUon Under�round Service 48 hrs before you d�g TOLL FREE NUMBER S11 � <br />a Connect s�de sewer per City Standard �'s 601. 602, 604 <br />5 Connect rooftop downspouls to ihe ara�nage system prov�ded for this iot <br />6 Install erosion centroi measures as determ�ned by the Public Works �nspector, such as s�lt (ence. stre�v bales, <br />s�vales. or eroson blankets <br />; Aii excavated mater�al from found2Gon, s�dewalk and dnveways shall be hauled �o an aporoved, perm�tled sde <br />No wasUng o` mater�ai is aVo�ved on this budtling lol <br />B No d�rl mud, rocks or debns to be tracked onlo roadway <br />9 No bwld�ng matenals to be stacked on sidewalklroadway and s�dewalk/roadway to be kept clean and open for <br />pedestnan tra� al <br />Ycur Publi:: V�'orks Inspector �s Cl�ff Liodn`�ao C�I' �125-3;9-7404 lor any que5ti0n52ndlor utSpC[hnns <br />� / %�= ` =--�--�--�-- <br />�-1 '�--! *_ __ <br />A��ed (or Construction Date <br />3-zG—i <br />FWALINSPEC110N Date <br />Aooroved as Constructed <br />i1CKNOWLEDG[I�1C-NTOI CONDIIIOWS <br />lho �.�nANis�pneo ownedapp6cant hereby ac�rees to ho:d am.1 <br />save !iann!ess ihe Cily of Eve�etl Irom any and all Ua�m; lor <br />damages, costs, expenses, or causes of achon Ihat may ar�,e <br />becaose ol installahon and mainlenance ol the �mprovemen; <br />or other nght-of-way use herelo apnhed lor, nd further ar,iec; <br />to remove same upon nohcc!rom �ho C�tl a''.d to �c;.�ace <br />publ�c piopeny damageA Iher�oy <br />S�gnature cf Apphcant <br />Dale <br />l'JORK AUTHORIZED BY THIS P[RP11T P1UST 6E STARTEU lNI7HIN I�0 DAYS OF DAT[ PERNIT IS ISSUED AND 7HEREAFTER IS TO BE DILIGENTt.Y <br />PURSUED TO COPIPL:-iION THIS PERPIIT MAY �E CANCELLED �Y TH[ CITY UPON ANV STOPPAGF OF 61'ORK ON fH6 PRCJECT OVER 90 DAYS �Ul:a' IQ'�,. <br />