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PUBLIC WORKS PERMIT Date: PW16016 <br /> Public Works Permit#: PW1606-033 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1604-128 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RVHARDT PROPERTIES LLC HAACK BROS CONST INC <br /> 7714 78TH PL NE 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 MARYSVILLE WA 98270 <br /> PHONE: PHONE: 4253977360 <br /> TAX PARCEL ID# 00544700800100 SITE ADDRESS: 2122 LEXINGTON AVE <br /> NEW SFR DETACHED <br /> SEE SHORT PLAT PLANS FOR DRAINAGE INSTALATION FOR THIS LOT <br /> (6/29/2016 8:12 AM KWB) <br /> SITE WORK FOR CONSTRUCTION OF NEW SFR <br /> PINEHURST BILK 008 D-00 - FRAC <br /> LOT 2 OF COE SP 1202-007-2015 LOTS 1-2-3 & LOTS 4-5-6 <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. Site Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 06/28/2016 and drainage shall be installed per the approved drainage <br /> plans for the short Plat. w <br /> 5. The contractor shall provide periodic street cleaning to remove any sediment tracked [--I <br /> off the site. F"'I <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pri <br /> to starting construction and with other inspection requests. U <br /> 7. Connect side sewer per City Standard#'s 601 through 604. O <br /> 8. Driveway to Garage shall be paved with asphalt or concrete. <br /> 9. Street improvements for this short plat frontage must be completed prior to JUL 1 8 2016 <br /> occupancy of this house. <br /> CITY OF EVERETT O <br /> Public Works Permit Fee Breakdown: Permit Services <br /> Driveway/Asphalt...................................$25.00 <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 0 <br /> 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 /> AAved Or Con tructl n Date remove same upon notice from the City and to replace public property <br /> MA damaged thereby. <br /> F L zsv= <br /> Date <br /> — Signature of Applicant Date <br /> WORK AUTHORIZED BY T IS ERMIT 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 />