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- PUBLIC WORKS PERMIT <br /> : Jli <br /> ili <br /> Public Works Permit#: PW1702-049 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1702-008 <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 /> ADAIR ENTERPRISES LLC ADAIR ENTERPRISES LLC <br /> 15922 E SHORE DR 15922 E SHORE DR <br /> LYNNWOOD WA 98087 LYNNWOOD WA 98087 <br /> PHONE: PHONE: 4253456437 <br /> TAX PARCEL ID# 29043400400400 SITE ADDRESS: 4927 OCEAN AVE <br /> SITE WORK FOR NEW SFR ON LOT 1 <br /> THIS PERMIT IS FOR CONSTRUCTION RELATED TO CONNECTIONS TO SEWER, WATER AND DRAINAGE. <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#601 w <br /> 5. Install erosion control measures as determined by the Public Works Inspector, such ["11 <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. g4 <br /> 7. Connect to services provided during the short plat. C <br /> 8. Site Civil Work to be done per plans approved by the City of Everett Public Works Z <br /> Department dated 03/14/2017. O <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior Mr-11:1 E"{ <br /> to starting construction and with other inspection requests.See attached to request an <br /> JUN2 3 2017, <br /> inspection. o <br /> Public Works Permit Fee Breakdown: CITY OF EVERETT Pi <br /> Misc. Minor Permits (Drainage Work) $25.00 Permit Services <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> ' ,z, taz,064.4..._ of m , , <br /> 3_14.../.7 <br /> causesCityEverett of action frothat mayany ariseandall becauseclaimsfor ofdamagesinstallationcostsand maintenance <br /> or of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Appr ed for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Dateto l a1 I7 <br /> Approved as Constructed SignatureApplicant 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 /> (lb <br />