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+� ' f TT <br />PUBLIC WORKS PERMIT <br />C ity of Everett Public Works De artment. .. <br />3200 Csdar Street �i-�9-�Q�Ji(NQN) <br />Evereh;L�4 98201 REG-1 <br />(425 257-7810 <br />'EI;��IT 7ao.t���9018 <br />Date: 8/27/20G9 <br />Public Works Permit #: PW0908-050 <br />10:4E� t3uildinq Permit #; <br />���nninq Reference #: <br />Public Works Fee $: <br />C0908-018 <br />$ 25.00 <br />� ,;. Other $: <br />OWNER NAME AND ADDRESS: 1 ML�H APP��fkT NAME AND ADDRESS: <br />SOUTH LAKE INVESTMENTS � r`LH�i $1�O.GO <br />1 �fiIUE .?5.G� <br />1806 S LAKE STEVENS RD � S C B4.5G <br />LAKE WA 98256 ll 0'?090� <br />STEVENS 1 SEI��EF: PHOt�'!J.00 <br />PHONE: 4253340573 �n�.ri <br />TAX PARCEL ID # 2904340040560 ; �!HTEk SITE�J�ESS: 2930 49TH ST SW <br />DESCRIPTION OF PROPOSED WORK: �L $ f+ . _ 4.� <br />�.'ri"tC�; '=�i,01.1.�5 <br />NEW HOUSE <br />LOT 2, SEAE�REEZE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shali 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 tefore you dig. TOLL FREE NUMBER 811 <br />4. Connect side sewer per City Standard #'s 601, 602, 604. <br />5. Ccnnect rooftop downspouts to the drainage system provided for this lot. <br />6. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning <br />the project. <br />7. Install erosion controi measures as determined by the Public Works inspector, such as silt (ence, straw bales, <br />swales or erosion blankets. <br />8. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />9. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of materiai is allowed on this building lot. <br />10. No dirt, m�d, rocks or debris to be tracked onto roadway. <br />11. No building materials to be stacked on sidewalks and sidewalks to be kept clean and open for pedestrian travel. <br />12. Adjust water meter box 1" above sidewalk grade. <br />f�OR PUBLIC WORKS INBPECTIONSIQUESTIONS CALL RANDY ALLEN AT 425-339-7403 <br />�. <br />, : : . . . . ��,.0 -1 <br />6� r'e��.+st��u�_ <br />Constructed <br />9-��-�9 <br />7- <br />w <br />H <br />�.r <br />� <br />� <br />� <br />�7 <br />z <br />0 <br />F <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees lo hold and <br />save harmless the City of Everett irom any and all claims tor <br />damages, costs, expenses, or causes of aclion that may arise <br />because ot installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and turther agrees <br />to remove same upon notice from the City and to replace <br />public property damaged the y. <br />-L�'--� <br />Signature of Applicant Date <br />WORK AUTHORIZED 8Y 1�H15 PERMIT MUST BE STARTED WITHIN I80 DAYS OF DATE PERMIT IS 155UED AND THERFAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLE710N. THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT[ON. <br />