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PUBLIC�ORKS PERMIT � Date: 3/15/2017
<br /> Public Works Permit#: PW1703-025
<br /> City of Everett Public Works Department
<br /> 3200 Cedar Street Parent Permit#: C1701-025
<br /> �� Everett, WA 98201
<br /> Planning Reference#:
<br /> (425) 257-8810 �
<br /> Public Works Fee $: $ 65.00
<br /> Other $:
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> HOPPER JAMES W SIGNATURE HOMES
<br /> 4019 170TH ST SW 11920 29TH AVE SE
<br /> LYNNWOOD �/�/q 98037 EVERETT Wq 98208
<br /> PHONE: PHONE: 4252440549
<br /> TAX PARCEL ID# SITE ADDRESS: 4125 GRAND AVE
<br /> NEW SFR DETACHED
<br /> THIS PERMIT IS FOR WORK INVOLVING SEWER, WATER, DRAINAGE AND DRIVEWAY INSTALATION FOR A NEW
<br /> SFR
<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 work to be done per plans approved by the City of Everett PubliE;Ud/a�ks -- ;--- � - �.---�-- �--• ' ' " `''
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<br /> Department dated 03/15/2017. � "' "
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<br /> 5. Contact the City of Everett Public Works Inspector Randy Alleii at�2���9-7403'prior;=�:� ° ��:a"�'�� ��� [�I
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<br /> to starting construction and with other inspection requests. "- !:_;, ,_; �M�/�
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<br /> 6. Street restoration must be done per COE Standard Drawing #31��and trench '�� ��'�;;;'�
<br /> restoration per#610, or as directed by the City PW Inspector. �,4"
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<br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadwa '���r��'9+,-F'=� �.. �`�` ";M'�j
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<br /> 8. Connect side sewer per City Standard #'s 601 through 604. :_ m�'�s�'`�' -"�'-�� -; �'�'; �' ;`-=` __ 'a�" _:�
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<br /> 9. Contractor shall take care when doing earthwork to minimize vibration to surrounding �—{ �' '`��
<br /> homes. This may require use of smaller equipment than normally used and will be ' ` '- �
<br /> dependent on the conditions as they arise. O
<br /> Public Works Permit Fee Breakdown: �� �5��,'��?' '�''�r , � A-I
<br /> _ _.
<br /> Misc. Minor Permits........................$25.00 "'
<br /> PW Plan Review.......................................$20.00
<br /> PW Site Inspection.................................$20.00 ACKNOWLEDGEMENTOFCONDITIONS
<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
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<br /> A oved for Construction Dat improvement or other right-of-way use hereto applied for and further agrees to
<br /> p remove same upon notice from the City and to replace public property
<br /> damage er by.
<br /> FINAL INSPECTION Date ` �� )
<br /> Approved as Constructed Sign ure of Applicant Dat
<br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS O 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.
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