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JUL 2011 <br /> PUBLIC mORKS PERMIT ate Applied: 3/17/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1703-034 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $115 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BALTIC HOMES LLC BALTIC HOMES LLC <br /> 6041 CHAMPIONSHIP CI 6041 CHAMPIONSHIP CI <br /> MUKILTEO,WA, 98275-5031 MUKILTEO, WA, 98275-5031 <br /> PHONE: 2062407329 PHONE: <br /> TAX PARCEL ID#: 00495800701003 SITE ADDRESS: 54 1�1ELL RD _2415- .SE_ <br /> DESCRIPTION: SITE DEVELOPMENT FOR NEW SFR LOT 2 <br /> THIS PERMIT IS FOR INSTALLATION OF SITE UTILITIES INCLUDING SEWER,WATER, AND DRAINAGE AND <br /> DRIVEWAY. <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 04/14/2017 and <br /> Anstey Engineering drainage report. <br /> 5. Connect side sewer per City Standard#'s 601 through 604. Copy of Standards is attached. <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. <br /> 7. A sprinkler system is required for this building in compliance with the requirements of NFPA Standards 13D. <br /> 8. Pave a 5 feet wide pedestrian access along the pan handle out to Lowell R _ pat signs sign indicating building <br /> address. , <br /> a ` ; <br /> .i <br /> JUL 0 7 2011 <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits ...$25.00 C��'Y of <br /> PW Plan Review $20.00 Permit Servs TT <br /> PW Site Inspection $20.00 <br /> Erosion Control $50.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> 4-14--/7 expenses,or causes of action that may arise because of installation and <br /> maintenance of e improveme t or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remo,/e same upon notice from the City and to <br /> replace publi .rrop-• ..ma',ed thereby. j <br /> FINAL INSPECTION //_ ` { <br /> Date `_AT,. <br /> Approved as Constructed (PW Inspector) Signatur= .` App cant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS:UED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON <br /> ANYSTOPPAGE 0 WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />