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PUBLIC IFORKS PERMDate: 11/10/ <br /> Public Works Permit#: PW1511-01-012 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; W1507-018 <br /> Everett, WA 98201 <br /> ., Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ENCORE 41 LLC LANCE HARVEY <br /> 10325 AIRPORT WAY 10325 AIRPORT WY <br /> SNOHOMISH WA 98290 SNOHOMISH 98296 <br /> PHONE: PHONE: 3605684801 <br /> TAX PARCEL ID# 00897400001100 SITE ADDRESS: 27 112TH ST SE <br /> WORK CONDUCTED W/O PERMITS <br /> Permit to cover drainage modification for installation of a large concrete slab in the back yard of this house. <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. Drainage System work to be done per email provided by Public Works. <br /> 5. Keep City streets clean at all times. 1=1 M m F <br /> 6. Provide any neccessary erosion conitrol as directed by the City Public Works Inspestor. FS; ;:: ' 0 <br /> 7. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction µr4 <br /> and with other inspection requests. Z <br /> Public Works Fee Breakdown: <br /> Plan Review$20.00 <br /> i F-•' A <br /> Inspection $20.00 <br /> Minor Misc permit$25 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 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 arise <br /> because of installation and maintenance of the improvement <br /> or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Ap roved for Construction Date JSPAGE <br /> rty damaged thereby. <br /> C L� !or'Sl <br /> I AL INSP CTION Date <br /> Approved as Constructed /Z 3Nr 112 Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />