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PUBLIC WORKS PERMIT Date: 11/14I2012 <br /> ,,�,`- F.�blic Works Permit#: PW1211-016 <br /> `y^/ City of Everett Public Works Department <br /> � 3200 Cedar Street Buildinp Permit#; C1211-001 � <br /> �� ��'�" �� Everett, WA 98201 <br /> Planning Reference#: <br /> (425)257-8810 public Works Fee$: $ 25.00 <br /> Other 5: <br /> OWNER Nf�ME AND AUDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NVJ LLC CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 PO BOX 14424 <br /> BOTHELL Wq 98082 B�THELL WA 98082 <br /> PHONE: 4253385888 PHONE: 4253385888 <br /> TAX PARCEL ID# SITE ADDRESS: 9811 1 ST PL W LOT 1 <br /> �ESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> LOT 1 CITY LIGHTS <br /> PERMIT C(�NDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be periormed in accordance wilh the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before ;ou dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per Ciry Standard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage syslem provided for this lot. � <br /> 6. Inslall erosion conlrol measures per City of Everzlt Standards for small parcels. F <br /> 7. Remove erosion control measures upon complelion of the project prior to final approval of the permiL � <br /> 8. No dirt, mud, rocks or debris lo be tracked onto roadway. V� <br /> Your Public Works Inspector is Clifi Lindman. Call him at 425-339-7404 for questions and inspections O <br /> "'� <br /> ,� _ , �� Q <br /> , ,� ., -. i ,i <br /> . � ci� i��� 1��: I��� ���, �"y <br /> �. � �E� 1 � 2��% �� Ij � <br /> / � <br /> I � ` l , i�! . <br /> �� , , . <br /> TO POSTING � '�l� 3 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless lhe Gty ot Everett from any and all claims for <br /> damages,qosts,expenses, or causes of action�hal may arise <br /> !/ because o(inslallation and maintenance of Ihe improvement <br /> �/� —�,�,�L��/S j� or other ri�hFof-way use her�to applied for and(uriher agrees <br /> / <br /> �� to remov 'same upon not�ce from Ihe City and to replace <br /> Approved for Con`struction ' Dale public pr�perly damaged ISereby. <br /> --'�/�� ����,,- - j /Z� /7 �7/ <br /> FI 1NSPECTION Data / � <br /> Approved as Constructed �`�' - � Signaw e of Applicant Dat <br /> l'JORK AUTHORIZED OY TI115 PERPIIT h1UST BE STARTED WRHIN 180 DAYS OF DATE PERP IT IS ISS D AND THEREAFfER IS TO BE DIIIGENTLY <br /> P URSUED TO CODiPLETION. THIS P[RMR h1AY BE GINCELLED 6Y THE CITY UFON ANY ST PPAGE F�NORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />