12415 17TH AVE SE 2016-01-01 MF Import

�L'� f�'� PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425)257-8810 OYJNER NAME AND ADDRESS: PACIFIC HEIGIiTS HOMES 620 SE EVERETT MALL WY #350 EVERETT WA 98203 PHONE: 4255300784 AX PARCELIDil 01069700001100 DESCRIPTION OF PROPOSED WORK: NEW HOUSE LOT 11, SOUTH LAKE ESTATES Date: 6/29l2010 Public Works Permit#: PW1006-029 Buildinp Permit #; C1006-027 Planninq ReFerence #: � Public VJorks Fee S: $ 25.00 Other S: APPLICANT NAME AND ADDRESS: PHONE: SITE ADDRESS: 12415 17TH AVE SE PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordarice 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 City Standard #'s 601, 602, 604. 5. Connect rooftop downspouts to the drainage system provided for this lot. 6. Install erosion control n?easures per City of Everett Standards for small parcels 7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. No wasting oi material is allowed on this building lot. 8. No dirt, mud, rocks or debris to be tracked unto roadway. 9. No building rnaterials 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 425-339-7404 �� P�STI��._�� , ACKNOWLEDGFMENT OF CONDITIONS The undersigne:l otivner/applicant hereby agrees to hold and save hannless lhe City of Everell from any and all claims for damages, costs, expenses, or causes of aclion ihat may arise ,�� because of installalion and maintenance of lhe improv�ment i /�? or other right-of-�vay use hereto applied for and further agrees �/ ��'/'��' �i�` �-�-r to remove same upon nulice from lhe Ci�y and to replace Approv d for Construction Date public prop rty damage by. ��"% � " � .`'�� _ � � l-�_�,� , -=.�T.._ ��_ y,�y �� F+ INSPECTION Date ,� /�, // �^� Approved as Const�ucted � Sign Wre o( Applic t Date � N/0RK AUTHORREU BY THIS PERhllT h1UST BE STARTED l"J[THIN 18D DAYS OF DATE P[RhIR IS ISSUED AND THEREAF�[R [S TO 8E DIL�GENTLY PURSUED TO CONPLEI70N. THIS PERP11l" hIAY 6[ G1NC[LLED BY THE CITY UPON ANY STOPPAGE OF SNORK ON THIS PROJECi OVER 9D DAYS DURATION.