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PUBLIC WORKS PERMIT <br />Ciry of Everett Public Works Department <br />'�'r' (�L.'s/p'�' <br />3200 Cedar Street <br />""' Everett. WA 98201 <br />(425)257•8810 <br />OWNER NAMF. AND ADDRESS: <br />�EATTLE PACIFIC HOMES <br />120 SW EVERETT MALL WAY <br />PHONE: 4259532800 <br />PARCEL ID # 00573GOOOU2400 <br />DESCRIPTION OF PROPOSED WORK� <br />PUBLIC WORKS FOR NEW HOUSE <br />Date <br />Public Works Permd # <br />Buildinq Permd #; <br />Planninq Reference # <br />Pubhc Works Fee $ <br />Other $ <br />APPLICANT NAME AND ADDRESS: <br />SEATTLE PACIFIC HOMES <br />120 SW EVERETT MALL WAY <br />PHONE: 4259532800 <br />SITE ADDRESS: 11 115TH ST SE <br />SS1202-2012-0�6 HARVEY <br />11I1012014 <br />P W 1411-009 <br />C1411-001 <br />�Y <br />$ 65.00 <br />PERMIT CONDITIONS <br />1 All calls lor inspecUon shall be made 24 hours m advance <br />2 All work shall be pertormed in .�ccordance with lhe permit and current City of Gve�eil Design and Corstruchon Standards <br />and Specihcalions <br />� Call Location Underground Service 40 hrs before you dig TOLL FREE NUMBER 811 <br />4 Connecl side sewer pei Ctly Standard #'s 601, G02. 604 <br />5 Connect rooftop downspo �is to the drainage syslem provided (or lhis lot �j; �: <br />6 Install erosion conlrol measurr.s as determined by the Public Works inspector, suclt as sitf fence' stFaw bales;, ��' �{� <br />swales, or ero��on blankels - „�-.-• +` � ,-„'• ',, ,� •,, ,T �- """ -.-' � ` <br />nr-'�•,t_,�.� r �i�i� �.�ci�� � <br />7 All excavated material from loundahon, sidewalk and drivewayb shall be'ii�uled to'�Fi' �ppr'ov�d, p�;rrHiryed sfte � <br />No wasting ot malenal is allowed on this bwlding lot -� •--� "' :" � ` <br />8 No dirt, mud. rocks or debns to be irackcA onlo roadway � '"' � m <br />.� <br />TA POSTING <br />--� _ ����z �_� <br />�pproved lor Consiruchnn Ddle , <br />�� / / �-•—�� <br />_�- <br />I SPECTIO Date <br />Approved as Conslructed � <br />fJ <br />r.� <br />� 'J � l_ �L F-` �-� �• I' � ;� _ 1 <br />1� il•. 1��1 �♦ .I.� 1 I� <br />^,� ' � 1! 1 1 • F` I 1� <br />i.���� . . . � � ��1•� �.� .'i��. ... <br />l�CKNOWLEUGL�dCN! VI (.ONOIlI�1N'l <br />I he undersit]nCA ownrNapplicanl herrhy .,giees �o hold and <br />s;wr, harmlrss Ihe Cdy ol Fverell irom any and all clairis lor <br />damages, r,os�s, expenses, oi c;wses ol action Ihat may aisn <br />br.cause ol inslallation and mamlenance of Ihe unprovemeni <br />ur olhcr nyht o6way usc horclo applied lor and furlhm agrrtns <br />In remove samc upon notir,c Irom Ihe C;ly and lo icpincr; <br />pubhc: prop��ily darnaged iherehy <br />' /nj,�-�,--f��/L / ( - �- `( -1 `� <br />- �-� Signahuc ol �pplicanl I)alr. <br />WORI; AU7110RIZ[D OY THIS f'[RtdfT P9115T Fff ;TARTfD WfTHIN 1fl0 DAYS Of DATC PfRMfT IS BSLIED AND THf RFAl1fR IS TO Of DILIf,FNTI.Y <br />1'UR51IfD TO COM�I fTION 7111 ; PfFldli M�Y Ifl UNCf.I I F D p/ Tllf OIY IIPOIJ ANY STqi'PAGf OF VJORN OtV 1H1 ; PqOlf Cl OVI H�III PAYS DUHAI l(.�! <br />'�vJ <br />