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- PUBLIC WORKg PERMIT Date: 9/6/2011 <br /> Public Works Permit#: PW1109-008 <br /> City of Everett Public Works Department guildinp Permit#; C1108-Q17 <br /> 3200 Cedar Street <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 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: <br /> PHONE: <br /> TAX PARCEL ID M 00537900001302 SITE ADDRESS: 11030 PAINE FIELD 1N1'#5 <br /> DESCRIFTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC413A <br /> COBBLESTONE COTTAGE: <br /> �ERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with lhe pertnit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 46 hrs before you dig. TOLL FREE NUMBER 811 <br /> � � � <br /> 4. Connect side sewer per City Standard#'s 601,602,604. ,� ,_.:._,_.,_. 3; '�y <br /> 5. Connect rooftop downspouts to the drainage system provided �r�x �_,,_�w -� • <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. r; ,_. ����,'_, � � <br /> `._> + `' �- C/� <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425-339-7404 VNTH QUESTIONS AND FOR INSPECTION ,; <br /> � �; _� <br /> � � ��� <br /> � 'h <br /> F' � <br /> � <br /> � ,�iY. <br /> . � � <br /> �.�, � � <br /> �v� ����.�_ —F� <br /> r-�r J�.t�o c>r,i-- r ='� <br /> ���n��8���, ���.;� <br /> �� <br /> r, a�_�t.� <br /> TO POSTING ��'� �� � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City oi Evereri from any and all claims for <br /> damages,costs,expenses,or causes ot adion that may arise <br /> - C7''ti*��`�'� berause oi inslallation and maintenance oi the improvement <br /> _ �_�� or other right•of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date public property damaged thereby. <br /> .i ��/ ��� � ' —�—= 1/�p,K �, ����1 I <br /> SPECTION Dater <br /> Approved as Constructed /�—Z3'"�Z Signa�ure of Applicant Date <br /> WORK AUINORIZED BY THIS PERMIT MUST BE STARTEO WRHIN I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> pURSUED TO COMPLEf10N. THIS PERMTf MAY BE CANCELLED BY THE CITY UPON ANY STOPPA6E OF WORK ON TH[S PRO]ECT OVER 90 DAYS DURATION. <br />