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PUBLIC wwORKS PERMIT Date: PW1616 <br /> Public Works Permit#: PW1603-015 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1603-004 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 125.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HAACK BROTHERS INC <br /> 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00563235602500 SITE ADDRESS: 1818 CHESTNUT ST <br /> PW FOR NEW SFR- BASIC RB1502-002 PLAN #1831 <br /> ST NICHOLAS ADD BILK 356 D-00 - <br /> LOTS 25 26 27 & 28 <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 m �: . <br /> 4. Site Civil Work to be done per plans approved by the City of Everett.-P--ublac-Work& ,---•r-- :3:- <br /> Department <br /> Department dated 05/052016. —' <br /> fir_'– c= ua�rs)—�ir'-r�'----mrd z <br /> 5. Connetct side sewer per City Standard #601, 602, 604. _ a.cm —+0� CD z tri�t-3I_-.:I w <br /> n; -,-j res CC) r i rri m 'c1 s c) <br /> 6.Connect roottop downspouts to the drainage system provided' or th[s,I'dV�' <br /> 7. Install eroision control measures as determined by the Public Works Inspectbr, such-- <br /> as silt fence, straw bales, swales, or erosion blankets. rri <br /> 8. No dirt, mud, rocks or debris to be tracked onto the roadway. <br /> 9. No building materials to be stacked onto roadway. r , <br /> 10. Contractor must contact City of Everett Inspector Randy Aller, _ <br /> 425-339-7404 prior to starting construction. LFa ; ,tet r' <br /> —7 #:t{fit x�t.EFt 7'••l'.71•w:£F.t tiN 1—••Eft-�7 <br /> -. r•a r.a�•a r Ti c, r.��err a)i- -a•, ra <br /> �•!�'i; .F•+rJ Ca.F`+ <br /> ° Cx)Cs r•J GY--.:! <br /> 4i�'+�.�Ci,`.'_•�C�1�_'�-CC•�Ca rs G��r.�J C�vi �Ci L j <br /> PUBLIC WORKS PERMIT FEE BREAKDOWN: c-a Z-5 r. <br /> Erosion Control $50.00 <br /> Land/Lot Machine Clearing(Residential) $35.00 O <br /> PW Site Inspection(EST) $20.00 A' �• <br /> PW Plan Review(EST) $20.00 TO POSTING.�_. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> )j-A <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 /> ppr ed Or C nstr Da improvement or other right-of-way use hereto applied for and further agrees to <br /> rem ve sam upon notice from the City and to replace public property <br /> da <br /> FINAL—INSPE#Tln Date / / / 6 <br /> Approved as ronstructed Si atu e of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA 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 />