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/ <br /> PUBLIC WORKS PERMIT Date: 9/6/2011 <br /> Public Works Permit#: PW1109-010 <br /> City oF Everett Public:Worics Department guildinp Pertnit#; C1108-019 <br /> � 3200 Cedar Street <br /> Everett, WA 98201 Pianning 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 98�Bz <br /> PHONE: <br /> PHONE: <br /> TPX PARCEL ID N 00537900001302 SITE ADDRESS: 11034 PAINE FIELD WY#7 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC413A <br /> COBBLESTONE COTTAGE; <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection shall be made 24 hours in advance. <br /> 2. All work shall be perfortned in accordance with the permit and current City of Everett Design and Constr.:ction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> �, � T <br /> 4. Connect side sewer per City Standard#'s 601, 602,604. � ,�",� ,� �' �y '� <br /> 5. Connect rooftop downspouts to the drainage system provided T,�.,„ —� • <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadwa . n���rr�""' � '� <br /> Y s c-�� a I�I <br /> GI S G� •/� <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425339-7404 WITH QUESTIONS AND FOR NSPECTION � � <br /> � TS ,O <br /> 'ft �' = <br /> � ~ a� <br /> 3 <br /> � �z <br /> �� � =�o <br /> �r '.' <br /> � � <br /> ao� �o� -�r.,u4z <br /> ��•��"��'•"F'�� -°v1 <br /> ���n�o�;��� �� i0 <br /> �� <br /> z. a��� <br /> TO POSTING �° � 'I� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned awner/applicant hereby agrees to hold and <br /> save harmtess the City ot Everetl from any and all claims for <br /> damages,costs,expenses,or causes of action thal may arise <br /> because of installalion and maintenance oilhe improvement <br /> -v��o � _ / _F�_// or other right-o(-way use hereto applied for and further agrees <br /> �'�1�J—� to remove same upon notice from lhe City and to replace <br /> A proved for Construction Date public property damaged thereby. <br /> ��� -�� �--�--�------ �.. ��,.e,A� 9I'7 I I r <br /> INSPEC� Date �_zG-�Z <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHC'RIZED BY THIS PERMR MUST BE STARiED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND lHEREAFiER IS TO BE DIUGENiLY <br /> PURSUED TO COMPLETiON. THIS PERMIT MAY BE CANCELLED BY iHE CITY UPON ANY STOPPAGE OF WORK ON iHTS PRO]ECT OVER 90 DAYS DURATION. <br />