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PUBLIC �IIORKS PERMIT Date: 7/23/2015 <br /> Public Works Permit#: PW1507-045 <br /> City of Everett Public Works Department <br /> � 3200 Cedar Street Building Permit#; C1507-010 <br /> Everett, WA 98201 Pianning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 90.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ALMARK CORPORATION ALMARK CORPORATION <br /> PO BOX 14425 PO BOX 14425 <br /> BOTHELL �/�/q 98082 BOTHELL �/�/q 98082 <br /> PHONE: 4255081982 PHONE: 4255081982 <br /> TAX PARCEL ID# 28052900201300 SITE ADDRESS: 2134 116TH ST SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PW FOR NEW SFR DWELLING <br /> SS 1202-2007-039 <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. Silt fence shall be put per City of Everett Standards. <br /> 5. All utilities( sewer, water) connection shall be per approved short plat conditions(1202-2007-039). <br /> 6. Storm water shall be done perapproved short plat drainage conditions (connections, amended soil tec..). w <br /> 7. Contractor must contact City of Everett Inspector Jim Knappert 4�5�3�9-7�404 prior to startiRg constru.ction. [� <br /> _ F�I <br /> -Public works fees � - � <br /> ---Erosion control plans(other) $50.00 �� . �=' �Q <br /> ---PW Plan Review(EST) $20.00 _ Q <br /> ---PW Site Inspection(EST) $20.00 ; � <br /> .' -�-� <br /> � ;�i , - � <br /> i 7 ��� �r:) ;._,. y��' � , <br /> �,.y�.n �FF,r�l�t t3:F' <br /> . :a=t ti=t.H?f r_:'1 i l.:J iS&f�!l I'•_'7 I."..�.�'..7 1-....�� , � <br /> rv:,;� f�'c3 I��_J i.7'1�._�.....:7��.:]�_o +�iF i:-�C'r��I'`.J P�..:)!._�I <br /> ....:r� �_��.ii ^�—. ;_s; _,C_�.� <br /> _.., �eo� [,�C._',r '.:; —• _" ' <br /> �..�i i� r_.. :: >,�� � a �� � <br /> �_r�.t9hj�="o r_ �)J'_:�'^o�=r i�.l f;fi to�-y�'i�.`�i�_'�i <br /> r_.J q '�><.....a �.>4Jl�.:5�'_?.,G^..''-._ .�. � � �, O <br /> � <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 /> 9 � �J� or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> A roved for Con tr �on D te pub c property damaged thereby. <br /> o.� � - � � � ,� GJ <br /> FINAL INSPECTIO Date � �Li\ ���� / � �� <br /> Approved as Constructed 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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �( �-l%' <br />