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PUBLICIORKS PERMIT Date: 7/25/2016 <br /> Public Works Permit#: PW1607-043 <br /> City of Everett Public Works Department <br /> 1, .--7 = 3200 Cedar Street Parent Permit#: C1607-022 <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 965.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CDCG 3 WLH LP POLYGON WLH LLC <br /> CDCG ASSET MANAGEMENT LLC 11624 SE 5TH ST SUITE 100 <br /> SCOTTSDALE AZ 85255 BELLEVUE WA 98005 <br /> PHONE: PHONE: 4255867700 <br /> TAX PARCEL ID# 29053200102300 SITE ADDRESS: 4404 29TH AVE SE LOT 131 <br /> SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> THIS PERMIT INCLUDES SEWER, WATER, DRIVEWAY AND DRAINAGE WORK FOR THIS SFR. <br /> PLAN#2645 A, B, C <br /> Section 32 Township 29 Range 05 <br /> Quarter NE NEW LOT 13 OF COE <br /> BLA#08-004 REC UND AFN <br /> a00804080781 & ROS 200804085006 & <br /> PERMIT CONDITIONS AS CORR BY AFN 201206070611 <br /> 1. All calls for inspection shall be made 24 hours in advance. BEING A PTN OF GOVT LOTS 2, 3&6 <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction StmdgEt <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. w <br /> 6. Install any erosion control measures as determined by the Public Works Inspector, [tel <br /> such as silt fence, straw bales, swales, or erosion blankets. l� <br /> 7. Connect side sewer per City Standard#'s 601 through 604. V) <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> r\S PP <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be \ <br /> kept clean and open for pedestrian travel. ;�1 \ O <br /> 10. Public Works Construction shall be done per approved plan dated 07/25/2016. � <br /> (Copy attached) "\ Z <br /> 11. Construct foundation only until Plat is final. O <br /> Public Works Permit Fee Breakdown: ,.... n <br /> E..., <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 \I\ L 2 7 2°16 <br /> Driveway $25.00 <br /> Traffic Mitigation $900.00 <br /> CtTp rOF Se EREs <br /> TT <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> 41104,02.tel _ / City of Everett from any and all claims for damages,costs,expenses,or <br /> 7-02 5 VI causes of action that may arise because of installation and maintenance of the <br /> App ved 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 /> FINAL INSPECTION Date <br /> Vo <br /> Approved as Constructed Signature of Applicant W21/g pp 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 ANYE OF WORK ON THIS PROJECT OVER 90 DAYS D RATION. <br />