12407 17TH AVE SE 2016-01-01 MF Import

PUBLIC WORK.�► PERMIT Date: 6/29/2010 City or Everett Public Works Departmer� Public Works Permit#� PW1006-031 �� - 3200 Cedar Street Buildinq Permit #; C1006-029 Everett, WA 98201 Planninq Reference #: (425)257-8810 Public Works Fee $: S 25.00 r� I�(�C�I��I a-- S_Z3-�i OtherS: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PACIFIC I-IEIGHTS HOMES 620 SE EVERETT MALL WY #350 EVERETT �n/q 98208 PHONE: 4255300784 PHONE: TAX PARCEL ID # 01069700001300 SITE ADDRESS: 12407 17Th1 AVE SE DESCRIPTION OF PROPOSED WORK: NEW HOUSE LOT 13, SOUTH LAKE ESTAT[S PERMIT CONDITIONS 1. All calls for inspection shall be made 2A hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specificalions. 3. Call Location Underground Service 48 i rs before you dig. TOLL FREE NUMBER 811 r-- 4. Connect side sewer per City Standard #'s 601, 602, 604. 5. Connect rooftop downspouts to thE drainage system provided for this lot. 6. Install erosion control measures per City of Everett Standards for small parcels 7. All excavated material from foundation, sidewalk and driveways shaL' be hauled to an approved, permitted site. No wasting of material is allowed on this building 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 clean and open for pedestrian travel. 10. Adjust water meter box 1" above sidewalk grade. FOR PUBLIC WORKS INSPECTION, CALL CLIFF AT 425-339-74G� �� �a�'�'� , `- YJ c1-� ACKNOWLEDGEMENI' OF CONDITIONS The undersigned owner/applicanl hereby agrees to hold and save harmless Ihe City uf Everett (rom any and all claims for damages, wsts, expenses, or causes of action that may arise � because of installation and maintenance of the improvement �� C� ��,"l�z��_ �-]-i �' or other right-of-way use herelo applied for and furiher agrees A roVed for ConstfuCtiOn Date to remove same upon notice from the City and lo replace PP public pro r1y damaged th eb�. ,%i✓% % -� : : . %. �.. -- .� ��...� �/ � FIN C INSPECTION Date � - ' Approved as Constructed 5�� - �� Si atu e of Applica t I Date % WORK AUTHORIZED BY THIS PERPIIT D1UST �E STARTED WITHIN 180 DAYS OF DATE��IT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY � PURSUED TO COPIPLF�ION. THIS PERPiIT h1AY BE UNCELLED 6Y THE QTY UPON ANY S�OPPAGE OF VVORK ON THIS PROJECT OVER 90 DAYS DURATION.