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PUBLIC *DRKS PERMIT Date: 9 0 6 <br /> Public Works Permit#: PW1609-087 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1609-022 <br /> .; Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: SUB14-002 <br /> Public Works Fee $: $ 919.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLYGON WLH LLC POLYGON WLH LLC <br /> 11624 SE 5TH ST SUITE 100 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 BELLEVUE WA 98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> TAX PARCEL ID# 29053200102300 SITE ADDRESS: 4411 29TH DR SE <br /> SITE WORK FOR NEW SFR BASIC/2015 IRC - RB1502-009-LOT 21 <br /> PLAN #2645 A <br /> LOT 21 OF THE PLAT OF OVERLOOK AT RIVERFRONT <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. 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 <br /> to starting construction and with other inspection requests. w <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. <br /> 7. Connect side sewer per City Standard #'s 601 through 604. <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 <br /> kept clean and open for pedestrian travel. <br /> 10. Public Works Construction shall be done per approved plan dated 09/23/2016. <br /> (Copy attached) 'Z <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 r, r+�*^.`; O <br /> Driveway..........................$25.00 27 -� i U I <br /> LU. <br /> Traffic Mitigation ...........$854.00 TO POSTING U <br /> CITY Of F—VE:RETT <br /> p r,nit Services <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 /> 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 /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date IO�OS/ <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 />