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PUBLIC HORKS PERMIT Date: 016 <br /> City of Everett Public Works Department Public Works Permit#: PW1W1605-028 <br /> 3200 Cedar Street Parent Permit#: C1605-013 <br /> Everett, WA 98201 <br /> (425)257-8810 Planning Reference#: <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: 2124 LEXINGTON AVE <br /> NEW SFR/PERMIT FOR SITE WORK <br /> PINEHURST BLK 008 D-00 - FRAC <br /> 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 for Development. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. See attached to request an w <br /> inspection. <br /> 5. Street improvements for this short plat frontage must be completed prior to <br /> occupancy of this house. H <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 7. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 05/24/2016. Copy attached. O <br /> 8. Connect side sewer per City Standard#'s 601 through 604. <br /> 9. Install erosion control measures as determined by the Public Works Inspector, such <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> Public Works Permit Fee Breakdown: E..� <br /> PW Plan Review$20.00 JUL 18 2016 <br /> PW Site Inspection $20.00 O <br /> Asphalt Driveway$25.00 CITY OF EVERETT a <br /> Permit Services <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 /> SZ�—�� 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 /> A r0 d f Con t' Date <br /> d remove same upon notice fro the City and to replace public property <br /> d m ed thereby. <br /> FINAL INSO&TINN Date <br /> Approved as Constructed Siatu e of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS Si 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 />