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PUBLIC WORKS PERMIT Date: 9/6/2011 <br /> Public Works Permit#: PW1109-006 <br /> City of Everett Public Works Department guildinp Permit#; C1108-01� <br /> 3200 Cedar Street <br /> Everett, WA 98201 Planning Referencei�: <br /> (425)257-8810 <br /> Public Works Fee$: S 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 98�82 <br /> PMONE: 4253385888 PNONE: <br /> TAX PARCEL ID 0 00537900001302 SITE ADDRESS: 11024 PAINE FIELD WY#3 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC4128 <br /> COBBLESTONE COTTAGE: <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 curcent City of Everett Design and Co�struction Standards <br /> and Specifications. <br /> 3. Call Location Underyround Service 48 hrs before you dig. TOLL FREE NUMBER 871 <br /> 4. Connect side sewer per City Standard#'s 601, 602,604. ^' � .� <br /> r� r i--�---r-� �: � <br /> 5. Connect rooftop downspouts to the drainage system provided ���T� �J. � <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. � F,-� �s��,� ., � <br /> CONT/'.CT iIVoFECTOR CLIFF LINDMAN AT 425339-7404 WITH QUESTIONS ANf�Oa�NSPECTION $ � <br /> ~ �'0�n rn�'-'+� i <br /> � �� �� <br /> � �� <br /> , _,z <br /> �r. _.O <br /> N�:� .�. <br /> � � <br /> �_`�. -'H <br /> .r r�---r x� r• <br /> �� rooro. -...r>�n �� <br /> lZ) 4'1'�l.'C�G�.G'.T� <br /> O•_ Ce• <br /> .SiV��:�.'a�'o�'+"c�.^n o <br /> —�i� uO <br /> L� ��� <br /> 1-�F' <br /> TO POSTING �°- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applica�l hereby agrees to hold and <br /> save harmiess Ihe City of Everett from any and all claims for <br /> (/'/�""_ damages, costs,ezpenses,or causes of action that may ariso <br /> ������j"'" because oi installation and maintenance otthe improvemenl <br /> y_ �-�` or other right-of-way use hereto applied for and(urther agrees <br /> ta remove same upon natice hom the City and to reptace <br /> Approved for Construction Date pubtic property damaped thereby. <br /> � ,�'�f--f� � �-�-- 1/7/�i <br /> NSPECTION Date <br /> Approved as Constructed �z- 2 �-�� Signature of Applicant Dete <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 15 TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE fANCELLED BY iHE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS WRA7ION <br />