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Date: 9110/2012 <br />,,, RUBLIC WORKS RERMI� ''public Works Permit#: PW1209-007 <br />�' ' Ciry of Everetf p�ibfib Works Depariment _'� <br />, T � Buildinq Permit #; C1209-005 <br />3200 Ceuar Streel <br />�'= '��`�� Everett; WA^9820f:��� Planninq Reference #: <br />(425) 257-8810 <br />,:�,, <], �;+;,��, Public Works Fee S: � 25.00 <br />1 1�i�(�.tl a'U.�:k) (�ther �� <br />ri:. .r^� - <br />OWNER NAME AND ADDRESS: , F'LBG APPCICANS NAM� AND ADDRESS: <br />MUSTACH LAND DEVELOPMEN � 1 5� ;;, '-� <br />ti �; ; r;0;," <br />�BOX 12176 1 �w;0i `��'�.'-" <br />MILL CREEK WA 98�8z �i i�i)";�'_,� <br />1 �'ijfF' PHONE:.':"! <br />PHONE: 4252440549 ,,,., �-„ <br />�•_� <br />TAX PARCEL ID # ��,�Trr SITE ADD,RESS: 3520 19TH ST <br />I� ".��.�,,.y�r'3i=.].L <br />DESCRIPTION OF PROPGSED WORK: ;; -,_ <br />NEW I�OUSE-BASIC 427 <br />LOT 3 OF 8LA12-004 <br />PERMIT CONDITIONS <br />1. All calis for inspection shall be made 24 hours in advance. <br />2. All work shal! be performed in accordance with the parmit and current City of Everett Design and Construction Standards <br />and Specifcations. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 I-- <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. <br />5. Install erosion control measures as determined by the Public Works inspector, such as sil! fence, straw bales, <br />swales, or erosion blankets. <br />6. Install erosion control measures per City cf Everett Standards for small parcnls. <br />7. No dirt, mud, rocks or debris to be trackecJ onto roadway. <br />8. Pave driveway from the front property line out to the street paving. <br />ro Posri�G ` � - �� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ovmer/applicant hereby agrees to hold and <br />save harmless the City of Everetl from any and all claims (or <br />damages, cosls, er.penses, or causes o( action lhal may arise <br />because of inslallalion and mainlenance of lhe improvement <br />or olher righl-of-way use hereto applied for and further agrees <br />to remove same upon notice irom lhe City and to replace <br />publ' p operty damaged ihereby. <br />��. � � z <br />S' natureo(Applicant Date <br />WORK AUTNORIZED BY THIS PERA1If h1UST 6E STARTEU WITHIN 180 DAYS OF DATE PERh1IT IS ISSUED AND THEREAFTER IS TO 8E DILIGENTLY <br />PURSU[D TO COhiPLE�ION. THIS PERh1IT h1AY �E CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURATION. <br />