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� PUBLIC�ORKS PERMIT • Date: 4/29/2015 <br /> � <br /> �� City of Everett Public Works Department Public Works Permit # PW1504-062 <br /> '."� � -� 3200 Cedar Street Buildinq Permit#, C1504-016 <br /> .♦r` Everett, WA 9820i Planninp Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other �: <br /> OWNL•R NAME AND ADDRESS: APPLIrANT N.4ME AND ADDRESS: <br /> KIRSHNER HOLDINGS LLC HAACK BRO> CONST INC <br /> 4113 127TH ST SE 3922 87TH A\/E NE <br /> EVERETT �/q 9gZpg MARYSVILLG WA 98270 <br /> PHONE: PHONE: 4252902429 <br /> TAX PARCEL tD# 00791400000200 SITE ADDRESS: 9B11 24TH DR 3E <br /> DESCRIPTION GF PROPOSED WORK: <br /> NEN!SFR /DRIVEJVAY <br /> PERMIT CONOITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2 All work shali be performed in accordance wilh 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 The sidesewer for this house shali be instailed per City Standards 601 thru 604. Copy attached. i; r1�� <br /> �� <br /> �'•-';_' �: rJ': W <br /> 5. It is the applicanUowner's responsioility to ensure that storm water runoff from new imperviou,ssurfaces;will be [� <br /> managed ornsite in a manner thal does not adversely affect neighboring properties, inciuding the City,'s�Ri�ht-�'-way "' <br /> and/or easements and improvements located therein. =�' �» �-" ��� � <br /> 6 The driveway cut for this new driveway shall be installed per City of Everett standard #307 Street shall be ' �`�' Q <br /> saw-cut far enough out to accommodate forms gutter instailation. �•-,� h <br /> � �; z <br /> 7 Keep City streets clean at all times ��, <br /> f.l �: � <br /> �: <br /> 8. Contact the City of Everett Public Works Inspector Cliff Lindman at 425-339-7269 prior to sCaiting_600struction. � [� <br /> : c.�' "-�' `; ✓] <br /> `: C:U.`-:�:�: o • . O <br /> 9. Any damage to the City Sidewalk shall be replaced at the direction of the City Inspector - - �;�� <br /> _ �.,._ <br /> �... �_ QI <br /> T� POSTING ��-'i5� �5 <br /> ACKNOWL[OG[MENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees lo hold and <br /> save harmless the City of Everett trom any and all claims for <br /> damages, costs, expenses, or causes of action fhat may arise <br /> I�/ because of installation and mainlenance ot the improvemenl <br /> "�"`' O ¢zf' l s or other right-oLway use hereto applied for and further agrees <br /> '��—L to�emove same upon notice from ihe City anJ to replace <br /> A proved for Construction Date <br /> p blic perty d ge thereby. <br /> 1�1,� a;,M Kha�D e�Y �-Z4-L5 �_--� _� <br /> FINAL NSPECTIO Dale <br /> Approved as Constructed ig ture of Applica t Date <br /> WORK AUTHORIZED BY THIS PERMiT h7U5T BE S7ARTED WITHIN 180 DAYS OF DAT RMIT IS IS!'UED AND THEftEAFTER IS TO t3[DILIGEN i LY <br /> PURSUED TO COMPLEfION. THIS PER�-0IT h1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA170N. <br /> � �e <br />