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PUBLIC WORKS PERMIT Date: 11/26I2012 <br /> �� Public Works Permit#: PW1211-035 <br /> City of Everett Public Works Department guildinq Pe�mit#; C1211-019 <br /> ��F? 3200 Cedar Street <br /> (?y.�,�,r•��1P1� Everett, WA 98201 Planning Reference#: <br /> (425)257-6810 public Works Fee 5: S 25.00 <br /> Other S: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> BOTHELL WA 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# 00480201100900 SITE ADDRESS: 9909 1ST PL W LOT 9 <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> LOT 9 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 Everett Design and Construclion Standards <br /> and Specificalions. <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connecl roaftop downspouts lo the drainage aystem provided for lhis lot. W <br /> 6. Inslall erosion control measures as delermined by the Public Works inspector, s�xh as silt fence, straw bales, � <br /> swales, or erosic� blankets. � <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadH ay. V1 <br /> B. Adjust water meter box 1"above sidewalk grade. � <br /> Your Public V�'orks Inspeclor is Cliff Lindman. Call him at 425-339-7404 for questions and inspeclions 0 <br /> � <br /> ���; „ . �� � -. [� <br /> i � ,: � „ ' ;-.�\. V1 <br /> i <br /> �_ �Ec � � ..,�; i' !; a�. <br /> TO r�cTING � � i 3 <br /> , � i ., � , <br /> �I ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hemby agrees to hold and <br /> _ save harmless the City of Everett from any and all claims for <br /> damage�, costs,expenses,or causes of aclion Ihat may arise <br /> _� �/' becaus of installation atia maintenance of lhe improvemenl <br /> %;� v i or olherright-o6way use h�relo applied(or and fuhher agrees <br /> '"vr�a��� �z ���� � Z to remove same�por�noCF e from ihe City and lo replace <br /> Approved for Conslruction Date public p�operty dam�gec��hliereby. / / <br /> /� 7�--�' ., �"/ �Z �� � ; <br /> �� � �/�'�� 1%l?i <br /> PJN NSPECTION Date ���� �; <br /> Approved as Constructed -3 SignalJre o�Applicent Date � � <br /> 1NORK AUTHORiZFP�Y TH15 PERh11T h1UST BE STARTED WITHIN 180 DAYS OP DATE PERQIIT 5 IS�UED AND THENEAFTER IS TO�E DILIGENTLY <br /> PURSUED TO CO"�IPL[TIO�J. 1}i15 PERId1T MAY 6[CANCELLED UY THE CIN UPON ANY STpPPA OF 1VORK ON T1115 PRO]'cCT OVER 90 DAYS DURATION. <br /> �— <br />