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PUBLIC mORKS PERMIT Date: 2/18/2016 <br /> City of Everett Public Works Department Public Works Permit#: PW1602-035 <br /> 3200 Cedar Street Parent Permit#: C1602-011 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ADAIR ENTERPRISES LLC ADAIR ENTERPRISES LLC <br /> 17032 35TH AVE SE 17032 35TH AVE SE <br /> BOTHELL WA 98012 BOTHELL WA 98012 <br /> PHONE: 4257431718 PHONE: 4257431718 <br /> TAX PARCEL ID# 28050800204700 SITE ADDRESS: 7523 BROADWAY <br /> NEW SFR-RESIDENTIAL BASIC RB1602-001 -ADAIR PLAN 1713 <br /> THIS PERMIT COVERS SITE WORK FOR THIS HOUSE <br /> SEC 08 TWP 28 RGE 05 <br /> LOT 5 SS12-003 AF#201511305001 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. The builder must provide protection for the Rain Garden system on tisdet4e prevent,— '—'--k a • r.„4 -' <br /> sedimentation from entering the system. A sign must be posted incati,ng,t#e� exn cn-a �� -rte' <br /> r---1 rri z r <br /> the Rain Garden. <br /> 5. Install erosion control measures as determined by the Public W6fIcs Irbr, 08115' <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 6. Connect rooftop drainage to the drainage system provided for this itt. '7; m <br /> 7. No dirt, mud, rocks, or debris to be tracked onto roadway. ] c 1—'•'w1,54 <br /> 8. Driveway to be paved with concrete or asphalt as indicated on the site plan. 'O <br /> F <br /> 9. Contact the City of Everett Public Works Inspector Jim Knappert' 5-339-7404 4,3 <br /> .=a <br /> prior to starting construction and with other inspection requests. S 43ittettigsiitg G B$t ' '` 17:; 'T. <br /> •� �nCocar7cr•.,ca �-- '�:coot <br /> an inspection. L�4 _ <br /> CAS �a . �a <br /> c C oT Ca C'c i c.,, Ca:.O <br /> 10. LANDSCAPE INSPECTION REQUIRED PRIOR TO FINAL. CONTACT TERESA # CO <br /> WELDON @ 425-257-7281 TO SCHEDULE AN INSPECTION. r• ' <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review$20.00 <br /> PW Site Inspection$20.00 <br /> Minor Misc. $25.00 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 /> 2 -/8-/6 City <br /> of action that may arise because of installation and maintenance of the <br /> A roved 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 the eby. <br /> ,l ���_ lG <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature 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 <br /> PURSUED TO COMPLL I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />