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•-�r= �, � Date: 1 112612 01 2 <br /> PUBLIC WORK:� PEFZIVEIT public Works Permit#: PW1211-036 <br /> City of Everett Pub ic Works Department guildinq Pe�mit#; C1211-020 <br /> � 3200 Ceoar Street <br /> �., ��"'��� Everett, WA 98201 <br /> Planning Reference#: <br /> (425j257-8810 <br /> Putlic Works Fee $: � 25.00 <br /> Other S: <br /> OWNER NAME AND ADCRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMf_S NW LLC <br /> PO BOX 14424 <br /> BOTHELL V1A 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# 00480201100900 SITE ADDRESS: 3910 1 ST PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> (1ST USE OF BF.SIC 432) <br /> UNIT 23 CITY LIGHTS <br /> PERMIT CONDITIONS <br /> 1. All calls tor inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance wilh the permit and current City of Everett Design and Construction Siandards <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, G04. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. W <br /> 6. Install erosion conlrol measures as determined by the Public Works inspector, such as silt fence, straw bales, � <br /> swalEs, or erosion blankets. ►-i <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. UJ <br /> 8. Adjust water meter box 1"above sidewalk grade. � <br /> Your Public Works Inspector is Clifi Lindman. Call hiin at 425-339-7404 for questions and inspections � <br /> � <br /> ii'�i;:= . , � r , <br /> . . _ - .- � � � � <br /> O <br /> rn pQSTING � � / 3 a <br /> i <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplican�hereby agrees to hold and <br /> save harmless the City o(Everett(rom any and all claims for <br /> damages, cos�s,expenses,or causes of aUion ihat may arise <br /> because of installation.aQd maintenance of the improvement <br /> p'/ �.�-��j,� or ot7 righl-of-way se I�ereto applied for and further agrees <br /> /7 to rQmo e same up n9�ice from ihe City and to replace <br /> �pproved (or Cons ruchon Dale� putilic p operty dam eU thereby. I <br /> 'l <br /> �'�-�'�-�--_=-`�� � � � - <br /> �__ � % <br /> F�IM11Rf NSPECTION Date � � , <br /> Approved as Construcled �� �� ' �� SignaWr�oil��pli�nt � Date ' I I � <br /> / 1 <br /> \'JORK AUTHORIZED�Y TTiIS PLRI•1IT I•1U5T BE START[D WITHW 180 DAYS OF DATE PERh11 IS1155VED AND THEREAFfER IS TO BE DILIGENTLY . <br /> NURSUFD TO WPiPLET10N. THIS PERh1lT F1AY�E UNCELLED f3Y THE CITY UPOIJ ANY STOPPAGE OF IVORN ON THIS PROJECT OVER 90 DAYS DURAiION.� <br />