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PUBLIC�OR <br /> • Date: 7/23/2015 <br /> KS PERMIT Public Works Permit#: PW1507-044 <br /> City of Everett Public Works Department <br /> � 3200 Cedar Street Building Permit#; C1507-007 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COCHRAN DAVID OWNER <br /> PO BOX 2424 <br /> MOUNT Wq 98273 <br /> VERNON PHONE: <br /> PHONE: 3604225042 <br /> TAX PARCEL ID# 00545001602300 SITE ADDRESS: 2307 COLUMBIA AVE <br /> NEW SFR WITH TWO CAR GARAGE <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. Site Civil Work to be done per drainage report and plans approved (as modified) by the City of Everett Public w <br /> Works Department dated 11/03/2015. � <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction � <br /> and with other inspection requests. See attached to request an inspection. � <br /> 6. Keep City streets clean at all times. O <br /> 7. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direct pipe M,.� <br /> connections, into a combined sewer, including a lateral line or side sewer connected to the city's combined sewer <br /> system as per EMC Chapter 14.08.180 H. Z <br /> 3. It is the �p�licant/owner's res�oi�sibility lu ensure thai storn�waier runoff from new impervious surfaces will be � <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way � <br /> and/or easements and the improvements located therein. - j R\ - n ,^ J <br /> LU) �S <br /> Public Works Fee Breakdown: ( <br /> Site Paving (1162SF) $45.00 NOV 2 0 2015 <br /> PW Plan Review$20.00 <br /> PW Site Inspection $20.00 �, ��. �;R <br /> ern. ice:, <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 /> ��o because of installation and maintenance of the improvement <br /> �Q.., ��lX�t� �� 3 aG� or other right-of-way use hereto applied for and further agrees <br /> Approved for Construction Dat to remove same upon notice from the City and to replace <br /> p blic property damaged thereby. <br /> - f i � <br /> �gy ✓ <br /> FINAL INSPECTION Date J � �- �,��ti'L-%� i �`���� <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 /> PURSOED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> i=i��F; <br />