12403 17TH AVE SE 2016-01-01 MF Import

[�`�i ` �� PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 987.01 (4�5) 257-8810 �C't jil�a _ 5 -2 3-y ON'NER NAME AND ADDRESS: PACIFIC HEIGHTS HOMES 620 SE EVERETT MALL WY #350 EVERETT WA 98208 PHONE: 4255300784 P.X PARCEL ID # C1069700001400 DESCRIPTION OF PROPOSED WOnK: NGW HOUSE LOT 14, SOUTH LAKE EST�TES Date: 6/29/2010 Public Works Pennit #: PW1006-032 Buildinp Permit #; C1006-030 Planninq Reference #: Public Works Fee �u: � 25.00 Other 3: APPLICANT NAME AND ADDRESS: PHONE: SITE ADDRESS: 12403 17TH AVE SE PERMIT CONDI710NS 1. All calls for inspectien shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Connect side sewer per Gity Standard #'s 601, 602, 604. 5. Connect rooftop dovmspouts to the drainage system provided for this lot. W 6. Install erosion control measures per City of Everett Standards �or small parcels � 7. All excavated material from ioundation, sidewalk and driveways shall be hauled to an approved, permitted site. � No wasting of material is allowed on this ouilding lot. � 8. No dirt, mud, rocks or debris to be tracked onto roadway. 9. No building materials to be stacked on roadway and roadway to be kept clea� and open for pedestrian travel. O 10. Adjust water meter box 1" above sidewalk grade. ti FOR PUBLIC WORKS INSPECTION, CALL CLIFF AT 415-339-7404 ��S�PC-1 C� ��I-i0 ACKNOWLEDGEMENi OF CONDITIONS The undersigned o�aner/applicant hereby agrees to hold and save hannless the City of Everett from any and all claims for damages, costs, expenses, or causes of aclion Ihat may arise �' because o( installation and mainienance o( the improvement � t�� _� ��_ �_�(; or other right-of-way use hereto applied for and furiher agrees A roved for Construction Date to remove same upon notice from the City and to replace pp public prope�iy damaged t ereby. ,, ii ��'- �-r" "'"'_'�� -- - . FIAi C'INSPECTION Date �- � "`� �U Approved as Constructed S-' � �"` I Signat re of Applic t Date WORK AUTNORI�LD 6Y ��IilS PFRI�IIT t•IUST dE STARTED IVITNW 180 DAYS OF DATEP[ 1IT 15 ISSUED AND THEREAF�ER IS TO BE DILIGEP1TlY PURSUEG TO COh1PLErIC^l. THIS PERh11T ��tAY 6E CANC[LIED BY THE CITY UPON ANY STOPPAGE OP N'ORK ON THIS PROJECf OVER 90 DAYS DURATION.