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. ��� �� <br /> PUBLIC �ORKS PERMIT Date. 11/4/2 16 <br /> Public Works Permit#: PW1611-011 <br /> City of Everett Public Works Department <br /> ��. 3200 Cedar Street Parent Permit#: K1610-002 <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 /> SHADOW DEVELOPMENT SHADOW DEVELOPMENT/CJ EBERT <br /> PO BOX 158 PO BOX 158 <br /> MUKILTEO Wq 98275 MUKILTEO WA 98275 <br /> PHONE: PHONE: 4252589366 , <br /> TAX PARCEL ID# 29050800101900 SITE ADDRESS: 25 E MARINE VIEW DR <br /> INSTALL A DCVA FOR BACKFLOW PREVENTION FOR THIS PRIVATE SYST <br /> THIS WORK DONE IN CONJUNCTION WITH THE INSTALLATION OF THE DRY SYSTEM PIPING THAT HAD BEEN <br /> DAMAGED BY FIRE. PERMIT FOR THIS WORK WILL COVER THE PLAN REVIEW AND INSPECTION FOR THE <br /> DCVA. ALL WORK TO BE DONE BY PRIVATE CONTRACTOR . <br /> SEC <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 /> ,-; -� <br /> ,_...,_..,�,.._. F;,, ;. �' <br /> 4. Work to be done per approved drawing dated 11-04-2016. (Copy Attached) __,�,_,_�,,_., _-; ° <br /> �°5 i---:�: �=, .-� w <br /> Z,. 'T- L� <br /> ."_.t -.�':lJ�1 <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such = --�'•r' ��` [�I <br /> =�:� �� <br /> as silt fence, straw bales, swales, or erosion blankets. !;� M� <br /> ;__i: ,, �/� <br /> i_....�. r,'1 .--jV1 <br /> r.--i i <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior ,..:,.�_;� <br /> to starting construction and with other inspection requests. See attached to request an '� <br /> inspection. �t :;� <br /> ;�r�, ; <br /> 7. Consult with the City Fire Department with regards to the location of required FDC. �'� --''� <br /> -�yy.8 .1y�1•�y:Y+F.t <br /> �r.. f�.-1 I'�._3 r.,.] <br /> Lrl:"m5�Co u�n_:'"7 <br /> 8. Final inspection approval for the sprinkler system will not be done until the DCVA is ����='�='>�-'��� - °'� <br /> , . <br /> installed. �' ��5 ��� <br /> raa <br /> ;_�. r_,�, � <br /> Public Works Permit Fee Breakdown: O <br /> Misc. Minor Permits ...$25.00 <br /> PW Plan Review...........$20.00 A-�I <br /> PW Site Inspection......$20.00 <br /> 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 /> , , _ ��.� %C. __/� causes of action that may arise because of installation and maintenance of the <br /> Ap roved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice fr,�m the Gity and to replace public property <br /> �damaged ther�by. <br /> � <br /> FINAL INSPECTION Date � ` __ _ �___ � � �� �� <br /> Approved as Constructed Signatur pplicant , 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 COMPLEiION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />