12411 17TH AVE SE 2016-01-01 MF Import

L,�S��f7P PUBLIC W. �RKS PERMIT Date: 6/29/2010 Public bvorks Permit #: PW100u-030 City of Everelt Public Works De�artment guildinq Permit #; 3200 Cedar Street Everett, WA 98201 Plannin� Reference #: (425) 257-8810 public Works Fee S: m �n�rin�r, 5 -,� -„ �the� �: OVJNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PACIFIC HEIGHTS HOMES I 620 SE EVERETT MALL WY #350 EVERETT WA 98208 PHONE: 4255300784 PHONE: TAX PARCEL ID # 01069700001200 SIT: ADDRESS: 12411 17TH AVE SE DESCRIPTION OF PROPOSED WORK: NEW HOUSE LOT 12, SOUTH LAKE ESTATES C1006-028 ti S 25.00 PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and c��rrent City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL ='REE NUMBER 811 4. Connect side sewer per City Standard tt's 601, 602, 604. 5. Connect rooftop downspouts to the drainage system provided for this lot. 6. Install erosion control measures per C�ty of Everett Standards for small parcels 7. All excavated material from foundation, sidewalk and driveways =hall 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 V','ORKS INSPECTION, CALL CLIFF AT 425-339-7404 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agiees to hold and save harmless Ihe Cily of Everelt (rcm any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance o( lhe improvement �"� / Gi or other right-of-way use hereto applied for and further aarees '�',�Jic%��" � 7-' �� (o remove same upon notice from the City and to replace App�oved for Construction Date public property damage lhereby. I � il 1'1/` � �. U � �Y INSPECTION Date ` Approved as Constructed �,/ 2a�� Sign�ul�e of Applic �t �� J 6YORK AUTHORI2ED UY THIS PERfdIT MUST BE STARTED VJP'H[N 1S0 DAYS Of- DATE PERh1IT IS ISSUED AND THEREAFTER [5 TO BE DILIGENTLY PURSUED TO C014PLETION. ��HIS P[RIdIT P1AY OE CAIJCELLED 6Y THE C1TY UPON ANY STOPPAGE Of VJORK ON THIS PROJEQ OVER 90 DAYS DURATION.