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!�'� �';s�1�l� <br />Pli6LIC W�ORKS PERMIT <br />Ciry of Everett Public N/orks Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Da:c: 02/OS/2010 <br />Public Works Permit #: PW1002-008 <br />BuildinuPe�mit#; C100�-003 <br />Planninp Reference #: <br />Public Works Fee $: �u 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />TF,LL FIRS DEVELOPERS LLC <br />620 SE EVERETT MALL WY #350 <br />EVERETT WA 98208 <br />PhiONE: 4255300784 PHONE: <br />TAX PARCEL ID # 01069700000600 SITE ADDRESS: 12503 17TH AVE SE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE - BASIC 337 (OPT B) <br />SOUTH LAKE ESTATES LOT <br />PERMIT CONDITIONS <br />1. Ali calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specificalions. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 �- <br />4. Connect rooitop downspouts to lhe drainage system provided for this lot. <br />5. The contractor must meet with the Public Works Inspector (call Cliff Lindma� at 425-339-7404) to discuss <br />potential drainage routing prior to beginning the project. <br />6. Install erosion control measures per City of Everett Standards for small parcels <br />7. All excavated material f�om foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is allo�:�d on this building lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for <br />pedestrian travel. <br />.�j i r-�c %S'��s �3 -/o <br />Approved far Constructio�n ��H Date <br />SPECTION Date <br />d as Constructed /Z-3 "' /a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to hold ar:; <br />save harmless the City of Everett (rom any and all claim, for <br />damages, costs, expenses, or causes u( action ihat may arise <br />because of installation and maintenance of the improvement <br />or olher right-of-way use hereto applied (or and furlher agrees <br />to remove same upon notice from the City and lo replace <br />public pro�erty damaged thereby. <br />i <br />� �' <br />' — ;j' � � %o <br />- r't�^..� ��� — <br />Sig�aWre of Applica�f Date <br />WORK AUTHORIZED BY THIS PERh11T �1UST BE STARTED WITHIN 180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO CONPLEfION. THIS PC-RP11T h7AY 6� CANCELLED BY THE CITI' UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />