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P��L.�� e :'�� � �� ���' ��t�: ^.i6��o�c� <br /> Public Works Permit#: PW1604-003 <br /> City of Everett Public Works Department <br /> � 3200 Cedar Street Parent Permit#: C1603-067 <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 /> POHLAND TODD <br /> 314 HEATHER RD <br /> EVERETT �/�/q 98203 <br /> PHONE: 4253459003 PHONE: <br /> TAX PARCEL ID# 00449400200500 SITE ADDRESS: 4404 FOREST DR LOT 3 <br /> NEW SFR RB1603-001 - PLAN 2309-2 <br /> -OREST PARK ADD TO EVERETT BLK <br /> LOT 3 1202-2014-003 002 D-00 - BLK 2 LOT 5 <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. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> � <br /> 5. Utilize the drainage system installed for this lot during the short plat construction. ( a [� <br /> combination of infiltration and splash blocks). Protect the infiltration system that was � <br /> installed for this lot from sedimentation and damage. <br /> 6. 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 � <br /> inspection. � <br /> 7. A sprinkler system is required for this building in compliance with the requirements of � <br /> NFPA Standards 13D. ��, o <br /> �S�� G � E.� <br /> 8. Install erosion control measures as determined by the Public Works Inspector, such � <br /> as silt fence, straw bales, swales, or erosion blankets. ����� 1 g �o�� O <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits (Drainage Work).......$25.00 C[TY OF EVERETT <br /> PW Plan Review.......................................$20.00 Permit Services <br /> PW Site Inspection....................................$20.00 ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and save harmless the <br /> [_��1 /� ` City of Everett from any and aIl claims for damages, costs,expenses,or <br /> e'�r7`�— �`—�' ��h causes of action that ma}�arise because of installation and maintenance of the <br /> improvement or o.ther rig'nt-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove sam�upon nofce from bhe City and to replace public property <br /> damaged�h(ereby �� � <br /> / <br /> FINAL INSPECTION Date ,� d%;� ;j� � ��1, � <br /> A roved as Constructed f '�� /� <br /> PP Signature of Applicant Date � <br /> WORK AUTHORIZED BY THIS Pf_RMIT MUST QE 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 /> � °�-� <br />