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PUBL1�►' WORKS PERMIT Date: 11I21/2012 <br /> �; Public Works Permit#: PW1211-02E <br /> r ;iq of Everett Public!.Norks Department <br /> 320(1 Cedar Sireel Buildinq Permit#; C1211-012 <br /> �'r���''f'�"��� Evereit, WA 98201 <br /> ��' Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: S 25.00 <br /> Olher S: <br /> OWNER NAME AND ADDRESS: � APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LL C <br /> PO BOX 14424 <br /> NILL CREEK WA 9A082 <br /> PHONE: 425338°888 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 9912 1ST PL W LOT 22 <br /> DESCRfPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> CITY LIGHTS LOT 22 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. FlII work shall be performed in accordance with lhe permit and current Cily of Everett Design and Construction Slandards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs be(ore you dig. TOLL FREE NUMBER 611 <br /> 4. Connect side sewer per Cily Standard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage system provided for this lot. W <br /> 6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, � <br /> swales, or erosion blankels. i,,,y <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. (/� <br /> 8. Adjust waler meter box 1" above sidewalk grade. � <br /> Your Public bVorks Inspector is Cliff Lindman. Call him at 425339•7404 for questions and inspections � <br /> h <br /> z <br /> 0 <br /> � <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicanl here6y agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages,cosls,expenses, or causes of ac�ion thal may�rise <br /> > � because of installation and maintenance of Ihe improvement <br /> �jj �� //�� .�� or other riyhl-o4way u e herelo applied for and further agrees <br /> —�l L— lo rei e same up n otice from lhe City and to replace <br /> Approved for Consiruclion Dale pu� roperty da a d thereby. <br /> r �/�����".-'_�- l � � <br /> E SPECTION Date � /� _� <br /> Approved as Conslructed 3 Signat re of A pli ant Date <br /> WORK AUl"HORIZ[D 13Y THIS PERPIIT P1UST OE STARTED 1NITHIN 180 DAYS OF DATE PERP IS I 5 D AND TH[REAFfER IS TO BE DILIGENTLY <br /> PURSU[D TO C014PLLTION. THIS PERPllT MAY 6E CANCELLED 6Y lli[QlY UPON ANY STOPPAGE F WORK ON THIS PROIEC!OVER 90 DAYS DURATION. <br />