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PUBLIC W�RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />�" � � Everelf�lNA 98201 lO-Ol-'�d10CFFD <br />(425��#.8810 REGl <br />OWNER NAME AND ADDRESS: <br />KOA KOLLARS <br />P.O.BOX 12278 <br />MILL CREEK WA 98082 <br />PHONE: 425h829806 <br />'AX PARCEL ID # 00470700301000 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />LOTS 10-12 HEWITT HEIGHTS <br />FERHIT f1o.1GOtiG24 <br />I�DG. <br />SC <br />MECH <br />FLBG <br />GRIVE <br />N <br />CARD <br />Date. <br />Public Works Permit #: <br />Buildinp Permit#; <br />0'�D�,��nninp Reference #: <br />CT Fiublic Works Fee $: <br />Other $: <br />qpBj.J�� NAME AND ADDRESS: <br />OWNE�N•� <br />El^0.00 <br />�14G.00 <br />i?�.OD <br />PHO��bO(u <br />+JLCC. VJ <br />� J.,II��.65 <br />: 3920 NASSAU PL <br />10 <br />6/18/20 <br />PW1006-019 ✓ <br />C1006-024 <br />as�,� <br />$ 25.00 <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. <br />5. Connect all rooftop downspouts to lhe side sewer. <br />6. The contractor must meet with the Public Works Inspector (call Randy Allen at 425-339-7403) to discuss potential <br />drainage routing prior to beginning lhe project. <br />7. Instali erosion control measures as determined by the Public Works inspeclor, such as silt fence, slraw bales, <br />swales, or erosion blankels. <br />8. Remove erosion control measures upon compietion of lhe project prior to final approval of the permit. <br />9. All excavated material from foundation, sidewalk and drivev.ays shall be hauled to an approved, permitted site. <br />No wasting of materiai is aliowed on this building lot. <br />10. No dirt, mud, rocks or debris to be tracked onto roadway. <br />11. Pave driveway from the iront property line out to the street pa�ing. <br />,., �d"d-� `z-- �p - �� ��� <br />Approv Co lrucli � / Date <br />�.� S %d -�� <br />FINAL INSPEC N Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the Cily of Everett from any and all claims for <br />damages, cosls, expenses, or causes of action thal may arise <br />because of inslallalion and mainlenance of ihe improvement <br />or other righl-ot-way use hereto applied tor and further agrees <br />to remove same upon notice from the Ciry and to replace <br />public perty dam ge h by. <br />_� �0 / �� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTED WITHII: 180 DAYS OF DATE PERMCf 15 ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COt•1PLEfION. THIS PERh1R h1AY BE CANCELLED BY THE CfTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />