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7 PUBLIC WORKS PERMIT Dale: 10,15/2009 <br /> il;6 <br /> #: <br /> City of Everett Public Works Department Public Works Permit PWO910-013 <br /> 3200 Cedar Street Buildinq Permit #: C0910-007 <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee $ $ 25.00 <br /> Other $. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> 3732.1 LLC (MT PACIFIC BANK) <br /> 3826 BROADWAY <br /> EVERETT WA 98201 <br /> PHONE: 4252633500 PHONE: <br /> TAX PARCEL ID p 00393900200700 SITE ADDRESS: 1616 78TH PL SE #L0T 5 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE - BASIC 324 <br /> LOT 5 SHORT PLAT <br /> 1202.n29-06 <br /> PERMIT CONDITIONS <br /> 1 All calls for inspection shall be made 24 hours in advance <br /> 2 All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 — <br /> 4. Connect side sewer per City Standard#'s 601, 602,604. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot W <br /> 6. Inotall erosion control measures per City of Everett Standards for small parcels <br /> 7. All excavated material from foundation,sidewalk and driveways shall be hauled tgar>_approvied pi3rmrUed site:' <br /> No wasting of material is allowed on this building lot. C7 s <br /> 8 No dirt mud, rocks or debris to be tracked onto roadway. e h m <br /> 9 No budding materials to be stacked on sidewalks and sidewalks to be kept clean am n fofi$e estria will. O <br /> ,, <br /> along Beverly Blvd ~ <br /> 10. Adjust water meter box 1"above sidewalk grade L p <br /> z <br /> YOUR INSPECTOR IS CLIFF LINDMAN 425-339-7404 ;ft <br /> qN L <br /> L_^0 M MN N �iy\/� <br /> 1-� v I <br /> SiV1S88 —E885�t A. <br /> 5 <br /> qi� ni+rrrorn I . 20 - , I ACKNOWLEDGEMENT OF CONDITIONS <br /> I G rv%i 111 17 The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arose <br /> because of installation and maintenance of the improvement <br /> d` or other right-of-way use hereto applied for and further agrees <br /> to remove sar no rce rom and to replace <br /> Anprov for consWction Date p�prope damaged thereby. <br /> INSPECTION Date <br /> Approved as Constructed Z -/v Signature of Applic&W Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />