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PUBLIC WORKS PERMIT Date: 6/21/2016 <br /> Public Works Permit#: PW1606-037 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1606-019 <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 /> HAACK BROS CONST INC HAACK JOEL <br /> 3922 87TH AVE NE <br /> MARYSVILLE �/�/q 98270 <br /> PHONE: 4253977360 PHONE: 4252902429 <br /> TAX PARCEL ID# 00552400700101 SITE ADDRESS: 1208 100TH ST SW <br /> NEW SFR WITH 4 CAR ATTACHED GARAGE <br /> THIS PERMIT IS FOR SITE DEVELOPMENT IN CONJUNCTION WITH THIS NEW SFR WHICH REPLACES A MOBILE <br /> HOME THAT WAS ON THE SITE. <br /> RANCHO INTERCITY DIV 2 BLK0007 <br /> D-01 LO I�2 (5-83) AUD 1=1L� NO. <br /> 8402290205 LOCATED <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 06/24/2016. (copy attached) <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 w <br /> prior to starting construction and with other inspection requests. See attached to request [� <br /> an inspection. � <br /> 6. Pave the proposed driveway with concrete or asphalt. <br /> 7. Keep City streets clean at all times. � <br /> 8. Applicant will be required to contribute one third the cost to install a fire hydrant near O <br /> this location rather than install sprinklers. � <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits................$25.00 �� (] R� 0 <br /> PW Plan Review.......................$20.00 �,l � � <br /> PW Site Inspection..................$20.00 � <br /> A�G 19 2016 O <br /> � <br /> �I Pe'����VERETT <br /> 'ces <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 /> 7�. f causes of action that may arise because of installation and maintenance of the <br /> pr ved for Cori truction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> C remove same upon notice from the City and to replace public property <br /> ��( � ��p-_ � � damaged the by. <br /> Q <br /> FINAL INSPECTIO Date <br /> Approved as Constructed Sig at e of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA PERMIT IS ISSUED AND TH 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 />