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PUBLIC WORKS PERMIT Date: 11/26I2012 <br /> *�,: Public Works Permit#: PW1211-032 <br /> City of Everett Public Works Department guildinp Permit#; C1211-016 <br /> �_J .,;��� 3200 Cedar Slreet <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee 5: S 25.00 <br /> Other 5: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND nDDRES5: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> BOTHEI_� Wq 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCF..L ID# 00480201100900 SITE ADDRESS: 9511 1 ST PL VJ <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> UNIT 10 CITY LIGHTS•S[P! <br /> PERMIT CONDITIONS <br /> 1. All calis tor inspection �hall 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 Location Underground Service AS hrs before you dig. TOLL FREE NUMBER 871 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. <br /> 5. Connect roo(top downspouts to the drainage system provided (or this lot. w <br /> 6. Install erosion control measures as determined by the Public Works inspector. such as silt fence, slraw bales, 1 � <br /> swales, or erosion blankets. i--i <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. V� <br /> 8. Adjust water meler box 1"above sidewalk grade. m <br /> Your Public VVorks Inspector is Cli(f Lindman. Call him at 425-339-7404 for questions and inspeclions 0 <br /> � <br /> � I , , i 'j —� F"� <br /> i I� " � � � � ;� _ I��� � <br /> � I � O <br /> � 1 ? 2��2 �L,� �I <br /> f�/ <br /> �.'ll }' r �� i �,',.�,j � ; <br /> , , ,, , <br /> TO POSTING �/�/I � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby ag�ees lo hoW and <br /> save harmless lhe City of Everell irom any and all claims for <br /> , damag,e�s,wsts,expenses,or causes of action thal may arise <br /> /� ' beca�fsE of inslallalion d maiNenance of Ihe improvement <br /> y`�. /�/ �. or othe righ4oi-way u �hereto applied for and furiher agrees <br /> � �'*� lo rem ve same upon�tice irom the City and lo replace <br /> Approved tor Conslruclion Date ublic ropeAy dam d thereby. � / <br /> ����G_�ti�----�I"'....�--- � ✓ � Ci ��i <br /> 61y11t'fNSPECTION Date , <br /> Approved as Constructed 7��� � �3 Signa re of App�c�m ��e <br /> l'JORK AUTHORIZED UY THIS PERI•11T�dUST 6[STARTED INITIiIN 160 DAYS OF DATE PER IT IS I/pS�)/ED AND TH[REAFfER IS TO BE DILIG[NTLY <br /> PURSUED TO COMPLETION. THIS PERMIT hiAY 6E UNCELLED BY 171E CRY UPON ANY STOPPAGC'OF WORK ON THIS PROJECT OVER 90 DAYS DUftATION, <br />