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PUBLIC WORKS PERMIT Date: 9/6/2011 - <br /> Public Works Pertnit#: PW1109-007 <br /> City of Everett Public Works Department guildi�p Pemtit#; C1108-016 <br /> 3200 Cedar Street <br /> Everen, WA 98207 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT IiAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 98�82 <br /> PHONE: 4253383888 PHONE: <br /> TAX PARCEL ID# 00537900001302 SITE ADDRESS: 11026 PAINE FIELD WY 114 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC412A <br /> COBBLESTONE COTTAGE: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accerdance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> � � � <br /> 4. ConneGt side sewer per City Standard tk's 601, 602, 604. �, �, ��,,_ � � � <br /> 5. Connect rooftop downspouts to the drainage system provided �� �, -� • <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. n��; ���-,� j w.y <br /> G � <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425-339-7404 WITH QUESTIONS AND FOR INSPECTION �, � <br /> t' �=, =� <br /> � <.� �Q <br /> � _ <br /> F� "� . <br /> � <br /> Y <br /> �h <br /> �r '(yJ�JJ � <br /> >^.� �PI F�f-`b} S'• "L <br /> L�1V16�]UOC'C.�1 ��� <br /> n L•1 <br /> —�ro�_ <br /> N ^ <br /> �J ��� <br /> TO POSTING �O'$��� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to ho�d and <br /> save harmless the City of Evereri from any and all cleims for <br /> damages,costs,expenses,or causes of adion that may arise <br /> ��'L4V�'" because of installation and maintenance ot the improvement <br /> 9 .� _// or other right-oi-way use hereto applied for and fuAher agrees <br /> • to remove same upon notice from lhe City and to replece <br /> Approved for Construction Date public property damaged thereby. <br /> SPECTION ate I Y� � 9/� '�� <br /> Approved as Constructed �—UG/ 5ignature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WRHIN 180 DAYS OF DATE PERMR 15 i55UED AND IHEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMR MAY BE CANCELLED BY lHE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9�DAYS DURATION. <br />