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PUBLIC <br />WORKS <br />PERMIT Date: <br />Public Works Permit #: <br />PVV140 034 <br />PW1403- <br />Ci,y of Everett <br />Public WoiKs Department <br />Building Permit k <br />C1403-023 <br />„. <br />G' T <br />3200 Cedar Street <br />-�a-, <br />8201 Everett, WA 9 <br />Planning Reference#: <br />SS05-027 <br />(425)257-8610 <br />Public Works Fee $: <br />$ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />I <br />HANSEN & HANSEN CONST <br />HANSEN 8 HANSEN CONST <br />10131 MORAN RD <br />ARLINGTON WA 98223 <br />PHONE.: 3604355405 <br />AX PARCEL ID p <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR NEW SINGLE FAMILY RESIDENCE <br />10131 MORAN RD <br />ARLINGTON WA 98223 <br />PHONE: 360435`.,405 <br />SITE ADDRESS: 2C23 STATE ST <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 81 i <br />4. Per approved drainage plan T, <br />5. Connect side sewer per City Standard #'s 601. 602, 604. T C <br />44 <br />6. Install erosion control measures as determined by the Public Works inspectdr, sudh' a3 silCfehCe, StraW bales? <br />swales, or erosion blankets. 173 r' �" „ m �' ' a S' fq _: <br />.� <br />7. All excavated material from foundation, sidewalk and driveways sW- q�;haylpd to en�aj�prove�r, penSi`I sitr�, <br />No wasting of material is allowed on this building lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />for' <br />9. No building materials to be stacked on sidewalk/roadway and sidews. 16oadwev to be kept clean and open <br />pedestrian travel. Q <br />a <br />Your Public Works Inspector is Randy Allen. Call 425-339-7403 for anyquestions and/or inspectionsv <br />ro re .��. cnvo..d <br />LTIF';:5 .. <br />TO POSTING V L115_ <br />Appr ed or onstru Date <br />/L <br />FINAL INSPE ION Date <br />Approved as Constructed <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 />or other right-of-way u a hereto applied for and further agrees <br />to r e same upon lice from the City and to replace <br />p lic property thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT 15 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 />