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P U 6 L I C 'O RKS P E RM I T Date: 7/22/2016 <br /> Public Works Permit#: PW1607-040 <br /> City of Everett Public Works Department <br /> ''� 3200 Cedar Street Parent Permit#: C1606-017 <br /> -� t. � ,. <br /> Everett, WA 98201 Planning Reference#: SS14-008 <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ��v�°�1(ak�� C�STt�'S'l/� C�N`�� BUSTARD CUSTOM CONST INC <br /> 6601 HIGHLAND DR PO BOX 1243 <br /> EVERETT �/�/q 98203 MARYSVILLE WA 98270 <br /> PHONE: PHONE: 4258766551 <br /> TAX PARCEL ID# 00531700301900 SITE ADDRESS: 6605 HIGHLAND DR <br /> SITE WORK FOR NEW SFR(LOT 3) <br /> NORTH BEVERLY PARK DIV 2 BLK <br /> 003 D-00 - LOT 19 <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 Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 7/22/2016. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. [�I <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and � <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto � <br /> roadway. O <br /> 8. Protect all existing underground utilities and stormwater facilities during construction. � <br /> 9. Amended soils must be installed per plans and drainage report for short plat �---. <br /> �--� ' � � <br /> SS14-008. ; ���' c��`" <br /> �"� ��� �� � �� �,, � <br /> Public Works Permit Fee Breakdown: � ; 1 �, � �r" ' � <br /> Drivewa ...................................................$25.00 � ' Q��.7 g ���� `1%' E"� <br /> Y � <br /> PW Plan Review.......................................$20.00 � �._._,,, <br /> � <br /> PW Site Inspection....................................$20.00 :aT4' �9� �',`����'�'°. �`� � O <br /> PFrn;ii fiei�vi�;e� � <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 /> � ����ZQ(� 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 /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date 0 �- <br /> Approved as Constructed S� nature of App i a 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 COMPLEi"ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �fi��i <br />