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/ <br /> PUBLIC WORKS PERMIT Date: 9/6/2011 <br /> Public Works Permit�k: PW1109-012 <br /> City of Everett Public Works DepaRment guildinq Permit#; C1108-021 <br /> 3200 Cedar Street <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee$: $ 25.00 <br /> Other S: <br /> OWNER NAME AND ADDRE55: 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 A 00537900001302 SITE ADDRESS: 11038 PAINE FIELD WY#9 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC412B <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 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 /> 4. Connect side sewer per City Standard#'s 601, 602,604. ��' C� -�� <br /> r ���= '-'�-' _ �1 <br /> 5. Connect rooftop downspouts to the drainage system provided �r,� ,�_J _: �_�_' <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. C]�-';^ z 4�,_,t i.y <br /> f; .- c�x c� �, (� <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425-339-7404 WITH QUESTIONS AND�OR`��JSPECTIOA �; � <br /> �-' ; =.O <br /> '-' � <br /> yt ,_, <br /> �.. � - -5h"� <br /> , _z <br /> .� '�, � =o <br /> � -, <br /> �_.07�,;��, � �F., <br /> reora�.L�.•,�� �/� <br /> 0"�O!1 L't�r—�+.--o G O t�.iA =VI <br /> r�_4"i�.�I�.i1�QOc.'_tt�l Gj . <br /> M1J V�V{Jl ��� � � <br /> �� aF- <br /> H.t.. <br /> TO POSTIN� �°"� " I y <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save hartnless lhe Ciry of Everetl irom any and all cleims for <br /> damages,costs,ezpenses,or causes ot aclion thal may arise <br /> - �,'�"�r because of installation and maintenance ofthe improvement <br /> 9' / // or other right-of-way use hereta applied for and further agrees <br /> �� to remove same upon notice from the Ciry end to replace <br /> pproved for Construction Date public property damaged thereby. <br /> r" .��.� 1�1b� .e,�,,.� 9hlu <br /> INSPECTION Date <br /> Approved as Constructed 2/.3 "� Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUSf BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEN'TLY <br /> PLIRSUED TO COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY iHE CITY UPON ANY SfOPPAGE OF WORK ON 1H15 PRO)EC�'OVER 90 DAYS WRAT�1. <br /> C� <br />