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PUBLIC WORKS PERMIT Date: 6/16/2015 <br /> ,k Public Works Permit#: PW1506-030 <br /> Z;,;," City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1506-002 <br /> a J Everett, WA 98201 <br /> ' (425)257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JUBIE ALFRED & KATHLEEN JUBIE ALFRED & KATHLEEN <br /> 1821 19TH DR 1821 19TH DR <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4252394027 PHONE: 4252394027 <br /> TAX PARCEL ID# 00438182003200 SITE ADDRESS: 3402 OAKES A& B <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW DUPLEX <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Install new 6" Side Sewer Connection on 8" Main per City Standards 601 through 604. Existing side sewer is <br /> only 4". Copy of Standards is attached. r Ci . <br /> �- .4 i.-. i.- ,. Hw <br /> 1--. --. ...t.-.,i...,i-...h....�_. 1 i..-7: li <br /> 1--h <br /> 5. Project will be reusing existing domestic water service and r- *4:02 CO=1, -r*-,:;R. tom,-n —' <br /> T• 4--i I.J.?1.- C):S-E. . • t.::$c-1I t� <br /> x,. r�`-' e r.7.1 C:?c� rV/) <br /> 6. Stormwater from new impervious surfaces shall not be discrfarged, rm�gh Fignspoutor oer direct pips; <br /> connections, into a combined sewer, including a lateral line or side sewer connected to the City's dombined seger ., , <br /> system as per EMC Chapter 14.08.180 H. 1,' �'t• tftwo <br /> r• r_n <br /> t r'a �J <br /> Lid <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be Z <br /> managed on-site in a manner that does not adversely affect neigah&bring properties, including the City's right-of-way `r! O <br /> and/or easements and the improvements located therein. �.d �, ,� .ep� . <br /> C-.4. •EF.I•YAP K-.+r-71••r:Av•tom•t:.?1 •'t N-•I;-,••Er+ta-T1 -.. <br /> 71.4 [� <br /> --;1 r•.7 r••..)r'•.a V--,7-...a�.:a•PY7•..„,.r t`t-,01•- )-,,.,-•. E', <br /> r <br /> 8. Contact the City of Everett Public Works Inspector Randy Agr 4 -0'0 , �$c S�c Cpra t&uction OP a a W..i .-.. .r-,t Cr —,ca .,Ca Tt.--t•••. Jand with other inspection requests. See attached to reques -• if1is bti6i .'" � -- <br /> '"\ SISUt-h <br /> Public Works Fee Breakdown: -� <br /> Plan Review$20.00TO 2/7//‘ <br /> Inspection$20.00 JUN 2 5 2015 <br /> Driveway$25.00 <br /> CITY OF EVERETT ACKNOWLEDGEMENT OF CONDITIONS <br /> Pe it Services The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> SF damages, costs,expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> 6. `6-/S or other right-of-way use hereto applied for and further agrees <br /> �� to remove same upo -: ice from the City and to replace <br /> Appr.i-• or onstr Date p . .c •r.,erty da ..-. er:r by.1\ <br /> _/s- ,,i , , , .-c725-4C- <br /> FINAL INSP CTION Date <br /> Approved as Constructed Sig . ure of Applic. t Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE •ERMIT 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 />