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i <br /> pUBLIG WORKS PERMIT Date: 9/6/2011 <br /> ' Public Works Pertnit t�: PW1109-014 <br /> City of�verett Public Works Department guildinq Permit#; C1108-023 <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 ADORESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 98082 <br /> PHONE: <br /> PHONE: <br /> TAX PARCEI ID# 00537900001302 SITE ADDRESS: 11042 PAINE FIELD WY t�11 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE-BASIC4138 <br /> COBBLESTONE COTTAGE: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 nours in advance. <br /> 2. All work shall be pertormed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specific.ations. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> a, <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. . � �:'W <br /> ;- F._,�-+ �� 3� <br /> 5. Connect rooftop downspouts to the drainage system provided =, . <br /> � s,:-o a-:1��� � <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. n�� ��,_.,� o � <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425339-7404 WITH QUESTIONS ANDc�OR`�NSPECTION � <br /> � � _,O <br /> E9 � � <br /> F, .-- �h <br /> � <br /> .. �;z <br /> �mr. "0 <br /> y?y� Ni <br /> H• <br /> ~~ yq�1�—cn (� <br /> �5:� r.�o r.��.,:.e.w��- `C-' <br /> !_.�,'.�r�i o:'u r.�-• -� <br /> i33��r:�t`'+c:�rs'� o.. <br /> ��.� <br /> -ar_� � <br /> -� <br /> r o-' <br /> TO POSTING � 3 � � <br /> ACKNOWLEDGEMENT OF CONDII'IONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save hartnless the City of Everett from eny and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance ofthe improvement <br /> • ���'tir'�vr— p- �o `�� or ofher right-of•way use hereto applied for and fuAher egrees <br /> to remove same upon notice from the City and to replace <br /> proved for Construction Date public propeAy damaged thereby. <br /> � _� <br /> ��-.�� � --- �-� ��.�- til, I�� <br /> AL INSPECTION Date �,`�/ <br /> Approved as Constructed Z Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WifHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENiLY <br /> PURSUED TO COMPLEfION. THIS PERMiT MAY BE fANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />