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PUBLIC NORKS PERMIT • Date: 7/19/2016 <br /> Public Works Permit#: PW1607-034 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1607-015 <br /> - Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 965.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CDCG 3 WLH LP POLYGON WLH LLC <br /> CDCG ASSET MANAGEMENT LLC 11624 SE 5TH ST SUITE 100 <br /> SCOTTSDALE AZ 85255 BELLEVUE WA 98005 <br /> PHONE: PHONE: 4255867700 <br /> TAX PARCEL ID# 29053200102300 SITE ADDRESS: 4317 29TH DR SE LOT 106 <br /> SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> THIS PERMIT INCLUDES SEWER, WATER, DRIVEWAY AND DRAINAGE WORK FOR THIS SFR. <br /> PLAN #2645 A, B, C <br /> Section 32 Township 29 Range 05 <br /> Quarter NE NEW LOT 13 OF COE <br /> BLA#08-004 REC U N D AFN <br /> PERMIT CONDITIONS AS CORR BY AFN 201206070611 <br /> 1. All calls for inspection shall be made 24 hours in advance. BEING A PTN OF GOVT LOTS 2, 3 & 6 <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction St4"Eqs <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior w <br /> to starting construction and with other inspection requests. <br /> 6. Install any erosion control measures as determined by the Public Works Inspector, [�I <br /> such as silt fence, straw bales, swales, or erosion blankets. 10-0 <br /> 7. Connect side sewer per City Standard #'s 601 through 604. E <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be O <br /> kept clean and open for pedestrian travel. <br /> 10. Public Works Construction shall be done per approved plan dated 07/19/2016. <br /> (Copy attached) <br /> 11. Construct foundation only until Plat is final. O <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review..............$20.00 <br /> PW Site Inspection..........$20.00 � ���� ?. Z7. JUL 2 1 2016D <br /> O <br /> Driveway..........................$25.00 <br /> Traffic Mitigation ...........$900.00 CIT <br /> Y OF <br /> Pervices <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—/ --� causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> ApprgVed for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date ti� A � <br /> Approved as Constructed Signat ke of Applicant ate <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 W�ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />