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� Date 11/26I2012 <br /> PUBLIC WORKS PERMIT Public Works Permit#: PW1211-037 <br /> City of Everett Public Works Department guildinp Permit#; C1211-021 <br /> 3200 Cedar Street <br /> �''�- �<«� Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee$: 5 25.00 <br /> Other 5: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> BOTHF.LL WA 9B082 <br /> PHONC: 4253385868 PHONE: <br /> TAX PARCEL ID# OD480201 100900 SITE ADDRESS: 9908 1 ST PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE <br /> UNIT 24 CITY LIGHTS <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2, All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connecl side sewer per City Slandard#'s 601, 602, 604. <br /> 5. Connect rooftop downspoute to the drainage system provided for this lot. W <br /> 6. Install erosion control measures as determinea by the Public Works inspector, �ch as sill fence, straw bales, <br /> swales, or erosion blankets. n � <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. C� U� <br /> 8. Adjust water meter box 1" above sidewalk grade. � <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for questions and inspections � <br /> � <br /> C/1 <br /> � <br /> � <br /> TO POSTIIiG nl�/�� ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless ihe City of Everetl(rom any and all claims tor <br /> — damages, costs,expenses, or causes of aclicn that may arise <br /> � � because of instaliation and maintenance of the improvement <br /> �/'�z�/j /�— or ol r right-oFway use herelo applied for and further agrees <br /> to re ove same uPo�iInotice(rom Ihe City and to replace <br /> Approved or Construction Date , � public roperty dafnaged Ihereby. <br /> /i —�":_`� I . � -� <br /> .��i�--y� /•1---'`-�•---/��-�------�-� � <br /> �►rr',��NSPECTION Date � <br /> �A,proved as Conslrucled ����' `-5 Signal re of�ppf ant 'Dale - <br /> 1VORK AUTHORIZED OY TFi15 PERh11T MUST OE STARTED 1VITHIN 180 DAYS OF DAT[PERMR IS ED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COhiPLETION. Tfi15 PERMR F1AY�E CANCELLED�Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />