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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />8200 Cedar Street <br />Everett, WA 98201 OCT 3 0 2001 <br />(425) 257-8810 <br />O;L ;O POSTING — <br />Date <br />Public Works Permit a <br />Building Permit k <br />Planning Reference k <br />Public Works Fee $ <br />Guarantee S <br />2/16/2000 <br />PW0002-037 <br />C0002-018 <br />$ 25.00 <br />OWNER <br />APPLIC <br />OMAR JENSEN CONST INC <br />ANDADDREss. NOVACK PAUL <br />AND ADDRCBS'fE <br />952 5TH ST <br />PO BOX 127 <br />MUKILTEO WA 98275 <br />MUKILTEO WA 98275 <br />PHONE ( 425) 418-5095 <br />PHONE: <br />( 425) L65-6682 <br />TAX PARCEL I.D.r 5717-003-001-0105 <br />PROJECTADDRESS: <br />5114 33RD AVE W <br />DESCRIPTION OF NEW HOUSE <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Short plat 1202-5 Lot B <br />1. All calls for inspection shall be maJa 24 hours in advance - phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800424-5555 <br />W <br />4.Adherence to the Geotechnical. report by GES,inc. dated <br />Nov 1999 is required. <br />F' <br />5.Silt fencing and straw coverings must be installed along <br />the downhill side as noted in the report and as directed <br />by the public works inspector. <br />6.The sanitary sidesewer must be installed per city-s'tand4:07PM <br />O <br />No. 601,602,604 and 612. Controled density backfill 0002018 <br />must be used forany street crossings. GUILD 2180.95 <br />7.If a sewer pump system is to be installed the preRVare 4.50 <br />line must discharge into a private Manhole then gi�"Ity 133.00 <br />Z <br />flow across the puplic ROW IIECI-I 80.00 <br />8.The Contractor must meet with the Public Works PUYE 2&00 <br />O <br />Inspector to discuss potenial drainage routing pFior 0007021 <br />to beginning the project. SEWER 70.00 <br />r <br />UTILITY 1613.00 <br />14A7ER 1200.00 <br />O <br />T O1AL 5306.45 <br />^ <br />C14EK <br />A 0M65. <br />i <br />as o0 <br />Approve o CUIslr ion Dale <br />FI AL INS ECTION <br />Approved as Constructed Date <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 or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice fro City and to replace public <br />property dam a ed thercb <br />CO <br />Signature Signature pti t ale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CiTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 RAYS DURAT;ON. <br />