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PUBLIC WORKS PERMIT Date: 9/10/2012 <br />Pibl'cWorks Permit #: PW1209-006 <br />City of Everett Public -Works Department "F I <br />3200��{ Street,. T 16uildinp Permit#; C1209-006 <br />1/ EverettlWAl9�2U��"''lt <br />Planning Reference #: <br />(425) 257-8810 <br />1 R-D5. H,346.55 Public Works Fee $: $ 25.00 <br />1 VIECH $90.00 Other $: <br />1 <br />PLDG <br />APPLIC�WAME AND ADDRESS: <br />OWNER NAME AND ADDRESS: <br />1 <br />S <br />S4 5 .O <br />MUSTACH LAND DEVELOPMENT <br />b <br />i<$45 <br />Box 12176 <br />1 <br />SEVER <br />$70.00 <br />MILL CREEK WA 98082 <br />1 <br />SYS DEV <br />a4,629.00 <br />1 <br />UATER <br />PHOf;IE525.00 <br />PHONE: 4252440549 <br />'AX PARCEL ID # <br />I <br />DRIVE <br />SITE AFC, jj�Ss: 3510 19TH ST <br />IL'r <br />-700.05 <br />DESCRIPTION OF PROPOSED WORK: <br />CARD <br />$M00.05 <br />DRIVEWAY FOR NEW SFR <br />LOT 2 OF El r112-004 <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 811 <br />4. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to <br />beginning the project. Call Randy Allen at 425-339-7403. W <br />r, such as silt fence, straw bales, <br />5. Install erosion control measures as determined by the Public Works inspecto <br />swales, or erosion blankets. I 't <br />6. Install erosion control measures per City of Everett Standards for small parcels. C/1 <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. Pave driveway from the front property line out to the street paving. O <br />TO POSTING 5"''-13 <br />�3� v <br />Ap;S-Tn ruJ,Date <br />3-Fs-13 <br />FINAL INSP 'TION 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 use hereto applied for and further agrees <br />to re" saertme upon notice from the City and to replace <br />public ro y dam ed thereby. -77 i <br />4SnalLureof Applicant Dale <br />WORK AUTHORIZED BY THIS PERMrT MUST BE STARTED WrrHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMrr MAY 8r CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />