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PUBLIC WORKS PERMIT Date: 12/23/2015 <br /> � <br /> . �---� Public Works Permit#: PW1512-022 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1512-004 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 90.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ACME HOMES LLC ACME HOMES LLC <br /> 10211 180TH ST SE 17408 56TH ST NE <br /> SNOHOMISH WA SNOHOMISH WA 98290 <br /> PHONE: 4259030292 PHONE: 4259031786 <br /> TAX PARCEL ID# 00433600005502 SITE ADDRESS: 3505 UPLAND AVE <br /> NEW SFR/SITE WORK <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 r <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Wgr4s,••_,„,_.,•h, ,_,., ,_.,. R ;'. <br /> Department dated 4/4/2016. —i ° w <br /> -•r, -n �xs-•..-0 m <br /> 5. Contact the City of Everett Public Works Inspector Randy Agro g=!•ar, Q o c <br /> to starting construction and with other inspection requests. I.:. =,; G' . 1-1 CO r [� <br /> 6. Install erosion control measures per City of Everett Standards for sn4l parcels anE J F� <br /> remove upon completion of the project prior to final approval of the permit. , ;:; c <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debt to be tracked ong ,! !—.., CO <br /> roadway. 61 O <br /> 8.Install new 6" Side Sewer Connection on 8" Main per City Stands. <br /> .F• �T7-.-e. .T. t--•C...,•H?i--;F--'•C.Tf•ER• s •-• <br /> rn- -.�c-= -ai— c.n�n i—r•.�ra , <br /> c.'a r �•o cs c...p•c,==+._«y.c•-ca co r•.a ca c-_�,._ <br /> Public Works Fees 'Pi-"'�lam''8 8 t.-6 S ct •'c;8 ER e'3 ' O <br /> c•1 <br /> --Erosion Control $50.00 .-' co <br /> �' <br /> --PW Plan Review $20.00 1-.- Ck <br /> --PW Site Inspection $20.00 O <br /> TO POSTING q/l2 a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �' i The undersigned owner/applicant herebyagrees to hold and save harmless the <br /> � 9 pp 9 <br /> -_-�. /�� City of Everett from any and all claims for damages,costs,expenses,or <br /> --`"IF ��` �`' "s, le/6 causes of action that may arise because of installation and maintenance of the <br /> ��Il♦ . <br /> 4s� improvement or other right-of-way use hereto applied for and further agrees to <br /> • .rd . a nstr ! �•,/// Da - remove same upon notice from the City and to replace public property <br /> �� ` da aged thereby. <br /> F AL INSP'"TIONu Date / ' 4ftQ4Ø1J )401(2 4/ /So <br /> Approved as Constructed 6 <br /> Pp ignature 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 /> r <br />