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PUBLIC 110RKS PERMIT Date: 2/18/2016 <br /> 4 WQ� <br /> Public Works Permit#: PW1602-034 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1602-012 <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 /> ADAIR ENTERPRISES LLC ADAIR ENTERPRISES LLC <br /> 17032 35TH AVE SE 17032 35TH AVE SE <br /> BOTHELL WA 98012 BOTHELL WA 98012 <br /> PHONE: 4257431718 PHONE: 4257431718 <br /> TAX PARCEL ID# 28050800204700 SITE ADDRESS: 7515 BROADWAY <br /> NEW SFR- RESIDENTIAL BASIC RB1602-001 -ADAIR PLAN 1713 <br /> This Permit covers site development for this lot. <br /> SEC 08 TWP 28 RGE 05 <br /> LOT 1 SS12-003 AF#201511305001 <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. The builder must provide protection for the Rain Garden system on this lot to prevent <br /> sedimentation from entering the system. A sign must be posted indicating the purpose of w <br /> the Rain Garden. <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such [�I <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 6. Connect rooftop drainage to the drainage system provided for this lot. <br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Driveway to be paved with concrete or asphalt as indicated on the site plan. O <br /> 9. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br /> prior to starting construction and with other inspection requests. See attached to request 6 '� <br /> an inspection. r-�t ✓sem ~� <br /> 10. LANDSCAPE INSPECTION REQUIRED PRIOR TO FINAL. CONTACT TERESA <br /> WELDON @ 425-257-7281 TO SCHEDULE AN INSPECTION. <br /> �T 0 <br /> Public Works Permit Fee Breakdown: OF $'.4'ER - a <br /> PW Plan Review$20.00 Permit Service <br /> PW Site Inspection $20.00 <br /> Minor Misc. $25.00 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages, costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> roved for onstruction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSP CT Date C ' <br /> Approved as Con tructed <br /> Signature 6f Applicant 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 /> -F( L-C <br />