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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Slreet <br />Everett, WA 982D1 <br />(425)257-881C <br />Date: <br />Public Works Permit #: <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee S: <br />ntl,ar 5 <br />5/31 /2012 <br />PW 1205-028 <br />C1205-004 <br />S 75.00 <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />TIiOMPSON PAUL <br />15028 228TH ST SE <br />SNOHOMISH WA 98296 <br />PHONE: 2069203090 PHONE: <br />TAX PARCEL ID �; 00505700005104 SITE AD�RESS: 4622 SEAHURST AVE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW SFR <br />'NO STRUCTURES DECKS OR APPURTENANCES ALLOWED IN THE 1ST 10' BEHIND THE CURB <br />'FRONT SETBACK 10'/ 20' GARAGE <br />Lot 2-Shortplat 1202-11-001 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be inade 24 hours in advance. <br />2. All work shall be performed in accord7n�e with lhe permit and current City of Evereli Design and Construction Standards <br />and Speci(ications. <br />3. Call Location Unde�qround Service 48 hrs before you dig. TOI_L FREE NUMBER 81'I � <br />4. Connect side sewer per City Standard #'s 601, 602, 604. <br />5. All rooflop runoff from this slructure shall be routed to the drainage syslem provided for this lot. <br />6. Install erosion control measures as detennined by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankels. <br />7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitled site. <br />No wasting of material is allowed on this building lot. <br />8. Extreme care shall be laken such that no dirt, mud, rocks or debris are tracked onto private pervious pavement <br />roadway. <br />g. A sprinkler system is required for this building in compliance wilh lhe requirements of NFPA Standards 13D. <br />10. Grading, drainage and site soil amendmenls shall confonn to lhe approved Drainage Report for the Thompson <br />Short Plat prepared by Joseph M. Smeby Job No: 11-012 May 2011 and lhe approved short plat developmenl plan. <br />11. Street trees and front yard landscaping along lhe privale roadway are required in accordance with city <br />standards. <br />TQ POSTING `� "' �' � -� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to hold 2nd <br />save harmless the Cily ot Everett (rom any and all claims for <br />damages, costs, expenses, or causes o( action lhal may arise <br />because of installalion and mainlenance of ihe improvement <br />or other right-o(-�vay use hereto applied for and turther agrees <br />to remove sam upon nolice trom lhe City and lo replace <br />public pwpefty�amaged thereby. <br />�'- � l3 / �z <br />SignaturhefApplicanl Date <br />l'.'ORY. AUTI�IGRIZED 13ti TI IIS PERf41T IdUST GE STARTED 1'JITViIN 1S0 DAYS OF DATE PERt41T IS ISSUED AND THEREAFTER IS TO BE DILIG�WI L1' <br />�URSUC-D l0 COi�1PLCf ION. TIII ; PCRh1IT F1AY GE U�CELL[D BY TH[ CITY UPON ANY STOPPAGE OF IVORK ON THIS PRO]ECT OVER 90 DAl'S DURAi1Gt1. <br />