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PUBLIC WORKS PERMIT <br /> City of Everett Public Works Department Date: 11/14/2012 <br /> .. Public Works Permit#: PW1211-014 <br /> ,/� <br /> Q? /c' TT 3200 Cedar Street Building Permit#; C1210-027 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 9922 1ST PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE . <br /> Unit 19-City Lights-01101200 <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 ; 4=; <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. I-. I-•, I- I <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. :.1., -cr. , ,, ; + • <br /> 6. Install erosion control measures per City of Everett Standards for small parcel:; rs 44 <br /> �-az <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. _' m r,K <br /> 1 <br /> l <br /> '-' <br /> i-•, <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for questions and inspections �` <br /> r, �O <br /> i <br /> :� r.s I-i fs+C-rn r.' . <br /> .. . rJ F-.+sem r_.1 .. Lr1 I.-�•TT <br /> N7}1�s- HT1°F-?r->L.J iE-' ,7l ' <br /> C7 1.....4 T7 <br /> --i A�••.- -..3 c,1 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation .-. maintenance of the improvement <br /> .. l ,•, or o - -r right-of-way us- ereto applied for and further agrees <br /> �� to eve same upon otice from the City and to replace <br /> Approved for Construction Date p,blic .roperty dama/g•d thereby. <br /> i 1 / <br /> 0,1-7- NSPECTI S N-.11111e;;;!............... ...-.=-__Date 6t <br /> Approved as Constructed PV-3 Signat e of Apr ic.nt Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM 1 IS I' .ED 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 />