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� <br /> � PUBLIC WORKS PERMIT Date: 9/6/2011 <br /> '+ .� City of Everett Public Works Department Public Works Permit#: PW1109-015 <br /> 3200 Cedar Street Buildinp Permit#; C1108-024 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRES3: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK Wq 98062 <br /> PHONE: PHONE: <br /> TAX PARCEL ID p 005379000013�2 SITE ADDRESS: 11044 PAINE FIELD WY#i2 <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE <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 wilh the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Se:vice 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. T,� � � <br /> 5. Connect rooftop downspouts to the drainage system provided '-' '-''� "''" �i td �� <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. r��F,-n��� �_ • � <br /> .T� �i �i�s'. r� �, � <br /> CONTACT INSPECTOR CLIFF LINDMAN AT 425-339-7404 WITH QUESTIONS AND�OR I�+ISPECTION m � <br /> � <br /> fA �, "' �� <br /> � = <br /> F+ `" 'h"p <br /> Ul �'�-+ <br /> ,�r� <br /> �+ .� -. <br /> (f`�epF+�M NN " <br /> li.�� n�G�r.t J��/� <br /> vi LTl�;v'-'i�i�j'`e'-i Vl r, oVl <br /> ��r_.� <br /> �� + <br /> Fa� �. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold ar,d <br /> save hertnless the Ciry of Everett from any and all claims for <br /> damages,costs,expenses,or causes of adion thet may arise <br /> because of installation and mainlenance of the imprrnemenl <br /> � 9_6.�� or other right-of•way use hereto epplied for and further agrees <br /> Ap oved for Construction Date to remove same upon notice from the City end to replace <br /> public property damaged thereby. <br /> ���'��� 1�,-� ,�-,�.ti �l <br /> �SPECTION Date _ ���� <br /> Approved as Constructed �-���Z Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WI7HIN 160 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETfON. ?HIS PERMIT MAY BE CANCELLED BY THE CiTY UPON ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER 90 DAYS DUMTION. <br />