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��� �� <br /> PUBLIC `,�ORKS PERMIT °ate. ���4�2 �6 <br /> Public Works Permit#: PW1611-011 <br /> City of Everett Public Works Department <br /> � <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 Wq 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 <br /> �; �i•r; <br /> .�, <br /> ,_a�-..,_. �:: �,; <br /> �� <br /> 4. Work to be done per approved drawing dated 11-04-2016. (Copy Attached) ,j�_,_r,,_., � w <br /> �;��=-�,�:--, -,. <br /> �;. -,- �� <br /> .—i �-a-1-r'i <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such '=° ��'"'--�'=' '--` [--�I <br /> �sa.�� �-.. <br /> as silt fence, straw bales, swales, or erosion blankets. �:=; � <br /> �_� �-"1 <br /> . i—� f'�`t �.] <br /> G') ! <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior h'_;=-;� <br /> to starting construction and with other inspection requests. See attached to request an ��`_� <br /> inspection. �+ '^;� <br /> ���. ; <br /> 7. Consult with the City Fire Department with regards to the location of required FDC. .���"1i,::��4:t.�-, '�'Z <br /> ��,-, r•_�r.s r•.7 <br /> I:.T��u_)u�:I�_T�I <br /> 8. Final inspection approval for the sprinkler system will not be done until the DCVA is ����`�J�� ��° °'O <br /> �-3�_.. <br /> installed. �i��.� `�.,.,� <br /> ra <br /> �_,.r_•� Vl <br /> Public Works Permit Fee Breakdown: O <br /> Misc. Minor Permits ...$25.00 <br /> PW Plan Review...........$20.00 � <br /> PW Site Inspection......$20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hoid and save harmiess the <br /> � City of Everett from any and all claims for damages,costs,expenses,or <br /> �, /���z�., /� �� causes of action.that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Ap roved for Construction Date remove same upon not�ce fr,pm the Gity and to repiace public property <br /> ,damaged ther�by. <br /> �_-_ <br /> -� <br /> FINAL INSPECTION Date � � �� �� /� <br /> Appfoved as Constructed Signature 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 />