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PUBLIC WORKS PERMIT Date: 11/10/2014 <br /> Public Works Permit#: PW1411-008 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1411-003 <br /> Everett, WA 98201 Pianning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OVI!NER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SEATTLE PACIFIC HOMES SEATTLE PACIFIC HOMES <br /> 120 SW EVERETT MALL WAY 120 SW EVERETT MALL WAY <br /> PHFJNE: 4259532800 PHONE: 4259532800 <br /> TAX PARCEL ID# 00573600002400 SITE ADDRESS: 9 115TH ST SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEW HOUSE <br /> SS1202-2012-006 HARVEY � <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. Connect side sewer per City Standard #'s 601, 602, 604. <br /> 5. Connect rooflop downspouts to the drainage system provided for this lot. w <br /> 6. Install erosion control measures as determined by the Public Works inspector, such as silt fence; straw bales, � <br /> swales, or erosion blankets. � <br /> 7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site: � <br /> No wasting of material is allowed on this building lot. � <br /> 8. No dirt, mud, rocks or debris to be tracked onto roadway. O <br /> h <br /> -.:L'.' ►'� <br /> c�_ <br /> :�� � <br /> .,, im.,y � ,; ,_...� .�_, � � t,::� <br /> .r:�-�E a::i.�.E:? .:i i ..F I'..i�.�..i f.ti!. �;., �. .� �..�. .::: <br /> ;..._.�.�� i..,)f"+.:i�•..��1—_`i:�::::i f,..�.1--�.,;i._._�..��:,t�r.�.�_...:7 f'�,::i[.;�.: <br /> .i. i�� _ ��_ - _' f'P.. �_ � .. ��:..i,� � l <br /> -,:7�'m,'�'�1�, , ', _i = . _.�:'`7�����...'>L_�.I'._.. i i �/� <br /> :.. ..... ..... ._.. _ <br /> ... . ...... <br /> � .._.. ,�i...�:. :�....�,: <br /> ,r . <br /> .... ._. 'i�:. ._.. i..... .. ._. ... _. ,_.. "" <br /> : .... <br /> , �� .�.., ..; <br /> �. � . <br /> _i� ��,..�e._.� ...c_�:��� ....��' � � VL <br /> O^ � <br /> F�'� <br /> �� ������tl� ��� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 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 /> 1�����/',l' �_��/� /5( or other right-of-way use hereto applied for and further agrees <br /> ��J to remove same upon notice from the City and to replace <br /> Approved for Construction Date � public ro ert dama ed thereb <br /> ,� P P Y 9 Y• <br /> �°%=%�_"i���'"_-�"c!�L.-�-._-•_ r� , ,� � J (/ �. <br /> F SPECTION Date �L" Z��� /�--c>u✓`��'�'^ �f � `I � � � <br /> Approved as Constructed S— Z�— i Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> r L�J <br />