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PUBLIC VWORKS PE1�lMIT Date: 11/14I2012 <br /> Public Works Permit#: PW1211-017 <br /> City of Everett Public Works Department guildinp Permit#; C1211-002 <br /> �` �ry 2 _}��_ 3200 Cedar Street <br /> ��� �� Everett, wa 982ot planni�q Reference#: <br /> (42;i) 257-8810 public V�'orks Fee$: $ 25.00 <br /> Other 5: <br /> OWNER NAME AND ADURESS: APPLICANT NAME AND ADORESS: <br /> CORNERSTONE. HOMES COR�IERSTONE HOMES <br /> PO BOX 14424 PO BOX 14424 <br /> E30THELL WA 98082 BOTHELL WA °8082 <br /> PHONE: <br /> PI�ONE: <br /> TAX PARCEL ID# 28041000100200 SITE ADDRESS: 9815 1ST PL W UNIT 2 <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> UNIT 2 CITY LIGHTS <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 Everetl 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. <br /> 5. Connecl rooftop downspouts to lhe drainage system provided for this lot. W <br /> 6. Install erosion control measures per City ot Everett Standards for small parcels. <br /> 7. Remove erosion control measures upon completion ot the project prior to final:approval o(the permit. , � <br /> 8. No dirt, mud, rocks or debris lo be tracked onlo roadway. V� <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for questions and inspections O <br /> h <br /> � <br /> F <br /> � <br /> � <br /> � c, <br /> I w^ �QSTING � �'��1 S ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlap�licant hereby agrees to hold and <br /> save harmless lhe City of EvereU trom any and all claims tor <br /> damages, costs,expenses, or causes of action Ihat may arise <br /> because of installatiorra(id maintenance of the improvement <br /> , /� or oth r right-obway use�iereto applied for and further agrees <br /> � / /��S �y to rert�ve same u{�on notice trom the City and to replace <br /> Approved�onstruclwn Date �publicpropertyd�gedthereby. <br /> ���_�����-<������—��__" � � Ci � <br /> �F C'iNSPECTION Date � � � � � <br /> Approved as Conslructed s-� —�3 Sign ture of Appilcant %�e <br /> WORK AUTHORIZED BY THIS PERh11T htUST BE STARTED WITHIN 180 DAYS OF DATE P� h11T 1p/ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO C0�IFLETION. THIS PERMIT MAY DE CANCELLED BY THE CIIV UPON ANY OP.^i�GE OF WORK ON THIS PRO]ECi OVER 90 DAYS DURATION. <br />