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PUBLIC WORK� PERlNI1T Date: 02/OS/2010 <br />� � Public Works Permit #: PW1002-009 <br />�� City of Everett Public Works Department <br />��t�.,��� 3200 Cedar Street Buildinp Permit #; C1002-004 <br />Everett, WA 98201 Planninp Reference #: <br />(425) 257-8810 <br />Public Works Fee �v: 5 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />TALL FIRS DEVELOPERS LLC OWNER <br />620 SE EVERETT MALL WY #350 <br />EVERETT WA 98208 <br />PHONE: 4255300784 <br />AX PARCEL ID # ('1069700000500 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE - BASIC 337 (OPT A) <br />PHONE: <br />SITE ADDRESS: 12507 17TH AVE SE <br />SOUTH LAKE ESTATES LOT <br />P[RMIT CONDITIONS <br />1. All 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 Everelt Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Connect rooftop downspouts to the drainage system provided for this lot. <br />5. The contractor must meet with the Public Works Inspector (call Cliff Lindman at 425-339-7404) to discuss <br />potential drainage rouGng prior to beginning the project. <br />6. Install erosion control measures per City of Everett Standards for small parcels <br />7. All excavated material from foundation, sidewalk and drivev,�ays shall be hauled to an approved, permitted site <br />No wasting of material is allowed 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 />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to hold and <br />save hannless the Ciry of Everett from any and all claims for <br />damages, cosls, expenses, or causes o( aclion that may arise <br />because of installation and maintenance of ihe improvement <br />or other right-of-way use herero applied for and furiher agrees <br />to remove same upen notice from ihe City and lo repiace <br />public prbperly damaged thereby. J <br />.� . Cc/��--._ . 5' L/c. <br />� Approved as Constructed /Z-06 -/O � Sig�aW� of Applicant j Date <br />VJORK AUTHORIZED BY THIS PERPllT hiUST O[ STARTCD \VITHIN IBO DAYS OF DATE PER�41T 15 ISSUED AND THEREAFTER IS TO �E DILIGENTLY <br />PURSUFD TO C01•1PLEl70N. THIS PERI4IT PIAY �[ CANCELLED DY THE CITY UPON ANY S70PPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURATIOfJ. <br />i <br />