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PUBLIC ORKS PERMITDate: 2/19/2015 <br /> l <br /> �� City of Everett Public Works Department Public korks Permit#: PW1502-012 <br /> 3200 Cedar Street Parent Permit#: C1412-017 <br /> � Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KOCHER GARY&CHRISTY KOCHER GARY&CHRISTY <br /> 847 GOAT TRAIL LOOP RD 847 GOAT TRAIL LOOP RD <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4252636472 PHONE: 4252636472 <br /> TAX PARCEL ID# 00433600006302 SITE ADDRESS: 3716 UPLAND AVE <br /> PUBLIC WORKS FOR NEW SINGLE FAMILY DWELLING <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. Connect side sewer per City Standard#'s 601, 602, 604. w <br /> 5. The contractor/owner must meet with the Public Works Inspector to discuss potential ['I <br /> drainage routing prior to beginning the project and with other inspection requests. Call I* <br /> Randy Allen at 425-339-7403. CA <br /> 6. Install erosion control measures as determined by the Public Works inspector, such PP <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new 4 <br /> impervious surfaces will be managed on-site in a manner that does not adversely affect O <br /> neighboring properties, including the City's right-of-way and/or easements and the <br /> improvements located therein. �..{ <br /> 8. Pave driveway with asphalt or concrete. TO POSTINGCA. <br /> Public Works Permit Fee Breakdown: i <br /> Misc. Minor Permits (Drainage Work) $25.00 P � ®� .Z12 6 2°/6 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 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 /> �� l -16 <br /> causes of action that may arise because of installation and maintenance of the <br /> A oved for Construction Date 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 /> damaged thereby. <br /> FINAL INSPECTION Date 4111101-�_ - �k�, <br /> Approved as Constructed ign. : �A pplicant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE • RMIT 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 /> FrfE <br />