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PUBL'C S®RKS PERMIT • Date: 4/6/2016 <br /> PW16 <br /> 4� Public Works Permit#: PW1604-008 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1603-066 <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 /> POHLAND TODD POHLAND TODD <br /> 314 HEATHER RD 314 HEATHER RD <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: 4253459003 PHONE: 4253459003 <br /> TAX PARCEL ID# 00449400200500 SITE ADDRESS: 4408 FOREST DR <br /> NEW SFR RB1603-001 - PLAN 2309-2 <br /> .OREST PARK ADD TO EVERETT BLK <br /> LOT 2 1202-2014-003 002 D-00 - BLK 2 LOT 5 <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. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> w <br /> 5. Utilize the drainage system installed for this lot during the short plat construction. ( a [�I <br /> combination of infiltration and splash blocks). Protect the infiltration system that was H <br /> installed from sedimentation and damage. <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. See attached to request an <br /> inspection. <br /> 7. A sprinkler system is required for this building in compliance with the requirements of <br /> NFPA Standards 13D. <br /> 8. Install erosion control measures as determined by the Public Works Inspector, such <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> Public Works Permit Fee Breakdown: �! <br /> Misc. Minor Permits (Drainage Work).......$25.00 <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 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 /> causes of action that may arise because of installation and maintenance of the <br /> improvement or of r ht-of-way use hereto applied for and further agrees to <br /> Ap roved for Construction Date remove same u n tic om e City and to replace public property <br /> damaged <br /> FINAL INSPECTION Date <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 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 /> y , <br />