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0 1 JUL lu is <br /> PUBLICVIORKS PERMIT III Date Applied: 3/17/2017' <br /> r ' Public Works Permit#: PW1703-033 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> PlanningReference#: <br /> Everett,WA 98201 <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 MUKILTEO, WA, 98275 <br /> PHONE: 4252991739 PHONE: 4252991739 <br /> TAX PARCEL ID#: 00495800701003SITE ADDRESS: 13 �Q 7,55 5E, <br /> DESCRIPTION: SITE DEVELOPMENT FOR NEW SFR LOT 1 <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 Rd. and post signs sign indicating building <br /> address. /q <br /> iL3 <br /> setio„, <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits $25.00 Jul,. ® 7 Z®�� <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 CITY <br /> Erosion Control $50.00 Pe® SV�rvrRETT <br /> City of Everett Official Use Only ACKNOWLEf3t glilT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City ofes Everettfrom <br /> th any and all claforoins damages,costs, <br /> and <br /> /1- /�,�, / '� expenses,or/ auses o action th may arise because of installation and <br /> 77 maintenance of th- .roveme or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and fu iIjer a: --:to rem a same upon notice from the City and to <br /> replace pu 9,is . .: dam ed thereby. <br /> 7 :7 -7 <br /> FINAL INSPECTION Date , <br /> Approved as Constructed (PW Inspector) Signat fe 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 PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> �c� <br />