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— � �� , -•� �� Date: 3/1�/?016
<br /> Public Works Permit#: PW1603-032
<br /> City of Everett Public Works Department
<br /> ��. 3200 Cedar Street Parent Permit#: C1601-009
<br /> Everett, WA 98201 Planning Reference#: REVI16-001
<br /> (425) 257-8810
<br /> Public Works Fee $: $ 85.00
<br /> Other $:
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> HABITAT FOR HUMANITY OF SNO CO Habitat For Humanity Snohomish
<br /> 2321 HOYT AVE
<br /> EVERETT �/�/q 98201
<br /> PHONE: 4252586289 PHONE:
<br /> -("AX PARCEL ID# 00439149400101 SITE ADDRESS: 2010 23RD ST
<br /> PW FOR NEW SFR
<br /> EVERETT PLAT OF BLK 494 D-01 - E
<br /> 38 FT LOTS 1 -2 &3 THOF
<br /> PERMIT CONDITIONS
<br /> 1. All calls for inspection shall be made 24 hours in advance.
<br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards
<br /> and Specifications.
<br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 _ .,. _
<br /> ; -,,
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<br /> 4. Site Civil Work to be done per plans approved by the City of F_verett PubI+E Works �-- ��
<br /> . : . _ �:,
<br /> Department dated 4113/2016. -.�- .-_--..,- -,-... _.__-,-�,.�., �,3-h.,.-,� ���'
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<br /> 5. Contact the City of Everett Public Works Inspector Randy Ailen at$��339 7?�� pri�; -�;_.;;_;�z�;�-� ;='� w
<br /> to starting construction and with other inspection requests. = .:' _=; - �-�:, " '��` [--I
<br /> �:.. ,�%
<br /> 6. Install erosion control measures per City of Everett Standards for small parcels, as ;:;=; �"` M�I
<br /> outlined in the Stormwater Managment Questionnaire and attached Map.,Remove upon � �_ � =:�
<br /> 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. ,;� � �
<br /> 8. Protect all existing underground utilities during construction. �`���'' �`'=� ����
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<br /> Public Works Permit Fee Breakdown: `:''1�6;�-'`_"-'�'-�``Y'`='-'�'` ``' �-'�"'"- __
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<br /> Paving (Driveway). $45.00 '."_` ��,. :._. .:����,; _.';�::�::""_,'_ra�_, -;.:�"- _ ;:;0
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<br /> PW Plan Review.......................................$20.00 ,:..:_� E".�
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<br /> PW Site Inspection....................................$20.00 �
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<br /> ��� �'`�, � �i�l'�9����—�
<br /> � ACKNOWLEDGEMENT OF CONDITIONS
<br /> The undersigned owner/applicant hereby agrees to hold and save harmless the
<br /> ��, C : City of Everett from any and all claims for damages,costs,expenses,or
<br /> - /'�.� �^( �9 � causes of action that may arise because of installation and maintenance of the
<br /> improvement r other ri ht-of-way use hereto applied for and further agrees to
<br /> Approved for Construction Da e remove e o n ce from the City and to replace public property
<br /> dam e her by
<br /> . /�
<br /> FINAL INSPECTION Date V � /� ��
<br /> Approved as Constructed Signature of Ap ica t Date
<br /> WORK AUTHORIZED BY �HIS PERMIl-MUST BE START�D WITHIN 180 DAYS OF DAT�PERMIT I5 ISSUED AND THEREAFTER IS TO BE DILIGENTLY
<br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON TFiIS PROJECT OVER 90 DAYS DURATION.
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