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<br /> PUBLIC ORKS PERMIT Date: 11/a6/�016
<br /> Public Works Permit#: PW1611-027
<br /> City of Everett Public Works Department
<br /> , - 3200 Cedar Street Parent Permit#: C1610-007
<br /> Everett, WA 98201
<br /> —_ Planning Reference#: SS15-004
<br /> (425)257-8810
<br /> Public Works Fee$: $ 1,285.00
<br /> Other $:
<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br /> ROBINETT LAND COMPANY LLC LANGUS HOMES LLC
<br /> 3601 COLBY AVE 2209 5TH STREET
<br /> EVERETT WA 98201 EVERETT WA 98201
<br /> PHONE: PHONE: 4252935852
<br /> TAX PARCEL ID# 00417000500400 SITE ADDRESS: 2207 GIBSON PL
<br /> SITE WORK FOR NEW SFR
<br /> Section 35 Township 29 Range 4
<br /> Quarter NW MAP OF DARLINGTON
<br /> BLK 005 D-00- LOT 4
<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 Pi, -t ;
<br /> 4. Site Civil Work to be done per plans approved by the City of Everett Pul lio,Wprks ,_..i* 1-...,.-,-..,_~,.,- #_a a 'a �'
<br /> '
<br /> Department dated 11/16/2016 and per Drainage Report approved fAr SS,1 5.g0..i•,on,. ,,�,.,*:,r,., -,.,-,..,.,:.:,, + °
<br /> 4/8/2016 and drainage memo by Omega Engineering approved on '1'TT27'1('f8 .-z.'.: Ca C-� Pi w
<br /> 5. Contact the City of Everett Public Works Inspector Randy Allen 042 prl
<br /> to starting construction and with other inspection requests. Call 425-257 8$81 to request _ Pini
<br /> 3 r:i P-~'•
<br /> an inspection on the inspection voicemail line. -:� r_,aI
<br /> 6. Install erosion control measures per City of Everett Standards for all parcels and p--1,{:44'�
<br /> remove upon completion of the project prior to final approval of the pe it. :
<br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris taste tracked onto `
<br /> roadway. p°p ` t e.� \-+�
<br /> 8. Protect all existing underground utilities during construction. r.,c)B r•.i i• F,- •. ,'-•. �.. .,,t w•-�
<br /> 9. As-builts of any utilities installed per this project must be turned ir°�-°Ec , e' t '!t'bl F" ,.a-d'P' C -
<br /> Works Inspector prior to final of permit. `-«` '> �� `fit > =><> �_, n'Q
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<br /> 72 E.I
<br /> Public Works Permit Fee Breakdown: I-°
<br /> CA
<br /> Paving (4670SF) $45.00
<br /> PW Review $20.00
<br /> PW Inspection $20:00 - T� G �j�'/r� �i
<br /> Traffic Mitigation $1,200.00
<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> The undersigned owner/applicant hereby agrees to hold and save harmless the
<br /> CtlI�,,, /�/�n /r //� / City of Everett from any and all claims for damages,costs,expenses,or
<br /> (/11 '& 104. !I—I 2o/ causes of action that may arise because of installation and maintenance of the
<br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to
<br /> remove same upon notice from the City and to replace public property
<br /> damaged thereby.
<br /> 457FINAL INSPECTION Date - it/2-2 (/X
<br /> Approved 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 OFOWORK ON THIS PROJECT OVER 90 DAYS DURATION.
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