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PUBLIC WORKS PERMIT Date: 11/14I2012 <br /> "' � Public Works Permit#: PW1211-018 <br /> ��`' 'i' ' City of Everetl Public Works Department <br /> _3y ,_,,_, :32G0 Cedar Street Buildinq Permit#; C1211-003 <br /> ��'="r`�j�`� Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee S. S 25.00 <br /> Other S: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES <br /> PO 6�X 14424 <br /> BOTH�LL WA 98�Bz <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 2804100010020Q SITE ADDRESS: 9819 1 ST PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> UNIT 3 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 wilh the permit and current City of Everelt Desigr: and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLI_FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connect rooflop downspouls to the drainage system pro��ided for lhis lot. W <br /> 6. Install erosion conlrol measures per Cily of Everetl Standards (or small parcels. � <br /> 7. Remove erosion control measures upon completion of the project prior to final approval of the permit. � <br /> S. No dirt, mud, rocks or debris to be tracked onto roadway. C/] <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425339-7404 (or questions and inspections O <br /> �7 <br /> � <br /> H <br /> � <br /> � <br /> a <br /> TO POSTiNG } � 3 <br /> ACKNOV�2EDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicaN hereby agrees lo hold and <br /> save harmtess the Ciry o(Everett from any and all claims for <br /> damages,cosls,expenses,or causes of action thal may arise <br /> �� becaus of installation a�fdlf�aintenance o(the improvement <br /> �� Z or o1hCr ngM-of•�vay u°�herelo applied for and further agrees <br /> �-- '�/��-,�„ ��--�'i i� � to remo e same upon r{oti¢e from the Ciry and to replace <br /> Approved for Construclion ate putilic operty damag d lhereby. <br /> '��" V� r /.� <br /> <��--� -'� , - �--� _� I �� /_i � <br /> FjNA INSPECTION Date I ; , � � <br /> Approved as Conslructed S—Z3�� Signaty1re of Appl' ant% ( Date <br /> �90RK AUTHORIZED DY THIS PERI4IT MUST B[STARTED VJITHIN IBO DAYS OF DATE PERhitT IS IS ED�AND TFiEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEIION. THIS PERt•11-f P1AY BE UNC[LLED BY THE CIl'Y UPON ANY STOPPAGE OF WOKK ON THIS PROJECi OVER 90 DAYS DURATION. <br />