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�PUBLIC WORKS PEFSMIT Date: 11/26/2012 <br /> �� ��ublic Works Permit#: PW1211-U38 <br /> Cily of Everett Public Works Department <br /> � � 3200 Cedar Street Buildinp Permit#; C1211-022 <br /> r-;�T,I�:L'l� <br /> c^' s� Everett, WA 98201 Planninc� Reference it: <br /> �—� (425)257-8810 <br /> Public Works Fee 5: $ 25.00 <br /> Other$: <br /> OWNER NAME AND A�DRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES P�W LLC <br /> PO BOX 14:"<4 <br /> BOTH�LL WA 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# 00480201100900 SITE ADDRESS: 9906 1 ST PL W <br /> DES�RIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR N[W HOUSE <br /> UNIT 25 CITY LIGHTS <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be periormed in accordance with the permit and current City of Everett 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 roo(top downspouls to lhe drainage s�slem provided for lhis lot. W <br /> 6. Install erosion control measures as determined by the Public Works inspeclor, such as silt fence, straw balee, F <br /> swales, or erosion blankets. i..� <br /> 7. No dirl, mud, rocks or debris to be tracked onto roadway. �/] <br /> 8. Adjust water meter box 1"abooe sidewalk grade. � <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for queslions and inspections � <br /> � <br /> „ - H)/� <br /> . l SH C��� �/f <br /> I . O <br /> � <br /> 11CKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the Cily of Everefl from any and all cla�ms tor <br /> damages,costs, expenses,or causes o(action�hat may arise <br /> because of inslallation and maintenance of the improvemenl <br /> �� �., or olhef�righl-of-�vay use'�iereto applied(or and fwiher agrees <br /> �� � ���`-- to remove same upoi /notice from the City and to replace <br /> Approved or Const�uction Date publ ' p:�peiiy dama�ed thereby. <br /> �� --� � _ � � <br /> —f-��s-- �' , � �r � � <br /> I:rtv� INSPECTION Date <br /> Approved as Construcled � -07 �3 Signatur�of A(pplic�nt ��ale � <br /> 170RK AUTHORRED 9Y TFiIS P[RMIT MUST l�E STARTED\7ITHW 160 DAYS OF DATE PERMRf IS ISSUED AN�THEREAFfER IS TO BE DiLIGENTLY <br /> PURSU[U TO COh1PLEl101J. THIS PERt41T 1•1AY f3[CANCELL[D BY THE CITY UPON ANY STOF3PAGE OF 1VORK ON THIS PROJ[CT OVER 90 DAYS DURATION. <br />