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����1� ������ �����.'. Date: 6/15/2015 <br /> Public Works Permit#: PW1506-027 <br /> City of Everett Public Works Department <br /> �, � 3200 Cedar Street Building Permit#; C1506-013 <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 /> BELMONT HOMES NW INC BELMONT HOMES NW INC <br /> 7304 10TH ST SE#B202 7304 10TH ST SE#B202 <br /> LAKE �IVq 98258 LAKE WA 98258 <br /> STEVENS STEVENS <br /> PHONE: 4252310825 PHONE: 4252310825 <br /> TAX PARCEL ID# 00817500000300 SITE ADDRESS: 2606 100TH ST SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEW SFR <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shalf 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 and drainage report approved by the City Public Works Department as . <br /> noted, dated 7/1/2015. ;'-' <br /> 5. Project will be using existing domestic water service and meter and existing side sewer stub Connect side ' w <br /> sewer per City Standards 601 through 604, attached. ' , , " ,' ' ` ' � <br /> 6. Install erosion control measures as determined by the Public Wor;ks i�sp���or,,st�ch as �+�fi fert,ce';sfr'aw ba�es, � <br /> swales, or erosion blankets. ' '' <br /> 7. Remove erosion control measures upon completion of the pro�ect prior to final approval of the permit. � <br /> 8. All excavated material from foundation, sidewalk, and driveways-shall be hauled to an approved, permitted site. , Q <br /> No wasting of material is allowed on this building lot. �� �J <br /> 9. No dirt, mud, rocks, or debris to be tracked onto roadway. ; � <br /> 10. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean �nd open for ; O <br /> pedestrian travel. <br /> 11. Adjust water meter box 1" above sidewalk grade. [—� <br /> 12. Remove and replace curb, gutter, and sidewalk as per City af�v��ett Sfandard PI�n:#'s 3D:5A& 3D6 on this � <br /> proposal's frontage as directed by the Public Works Inspector (i.e., all unused driveways and any broken or `_ Q <br /> damaged area must be replaced). � <br /> 13. A shallow vegetated interceptor swale shall be constructed along the western property line of this parcel in <br /> order to protect the new improvements from the off-site runoff. <br /> Public Works Fee Breakdown: <br /> Plan Review$20.00 <br /> Inspection $20.00 ACKNOWLEDGEMENT OF CONDITIONS <br /> Driveway $25.00 The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> / � because of installation and maintenance of the improvement <br /> �� ���� �—/.��^/� or oth r right-of-way use hereto applied for and further agrees <br /> �v to re ove same upon notice from the City and to replace <br /> pproved or n truction Date pu ic propert .damaged thereby. <br /> L INSP �C Date �� � � � ����� <br /> Approved as Co tr cted Signature of Applicant � 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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �( L c= <br />