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PUBLIC KIRKS PERMIT Date: 7/22/2016 <br /> m City of Everett Public Works Department <br /> Public Works Permit#: PW1607-041 <br /> : 3200 Cedar Street Parent Permit#: C1606-016 <br /> -,, Everett, WA 98201 Planning Reference#: SS14-008 <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RiJS PdZc, CO's cOl•.\Sl BUSTARD CUSTOM CONST INC <br /> 6601 HIGHLAND DR PO BOX 1243 <br /> EVERETT WA 98203 MARYSVILLE WA 98270 <br /> PHONE: PHONE: 4258766551 <br /> TAX PARCEL ID# 00531700301900 SITE ADDRESS: 6607 HIGHLAND DR <br /> SITE WORK FOR NEW SFR(LOT 2) <br /> NORTH BEVERLY PARK DIV 2 BLK <br /> 003 D-00- LOT 19 <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. Site Civil Work to be done per plans approved by the City of Everett Public Works r:; H c <br /> Department dated 7/22/2016. L <br /> 5. Contact the City of Everett Public Works Inspector Randy Al i.at -�46 .p1or^i; °'.° ' 'Y; 7,..: d w <br /> to starting construction and with other inspection requests. Fr; i `"'rn; '"E-3 i-3.'`-' :� .± ..7 =_. P, II4 <br /> 6. Install erosion control measures per City of Everett Standard&for smljj parcels ansarn <br /> remove upon completion of the project prior to final approval of the permit. S .74:4 <br /> '14.:, 'AD g'... <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debr, ,to be tracked ons; '-` cr'�, PO <br /> roadway. chs ; <br /> 8. Protect all existing underground utilities and stormwater facilitie uring construction. Fi 0 <br /> cy, Sit <br /> 9. Amended soils must be installed perplans and drainage ort shortplat ' <br /> 9 p; f , <br /> SS14-008. -• ;� p t •" '-' <br /> U.•t N .t'=�1---••E•F.f -•. I-•r+_Z tier I-.u. _....� w-•.r......5 <br /> .J•1Fir fro- <br /> ,t'0:1 p.fir•.,::..x 5111.t:-,4p L. .,C,....)p-•.9::;r....x+w:)I:31 <br /> Public Works Permit Fee Breakdown: '3t LA; .? ri 3 3 .,L;c'7.- ' <br /> Driveway $25.00 9`-'V <br /> PW Plan Review $20.00 1_,. -, V) <br /> PW Site Inspection $20.00 O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> jalyout / �i� 7-- ZZ— Zo/4 causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Co struction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date /...e.....,....L.Q4itm*--- <br /> Cir p�/(-_ <br /> Approved as Constructed Signature of Applica 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 /> fflr <br />