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Date: 1'/26I2012 <br /> PUBLIC WORKS PER�!�!IT publicWorksPermit#: PW1211-031 <br /> �^� City of[verett P�blic Works Depariment <br /> G,:. <br /> 320o Cedar Street Buildinp Permit#; C1211-015 <br /> ;:,r,T,Gar3i�i' Everett, V1A 9820' Planning Reference#: <br /> (425) 257-8810 Public Works Fee S: S 25.00 <br /> Other 5: <br /> 04YNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> C[)RNERSTUNE HOMES NW LLC <br /> PJ BOX 14424 <br /> BOTHELL WA 98082 <br /> PI10NE: 4253385888 PHONE: <br /> TAX PARCEL ID# 00480201100900 SITE ADDRESS: 9913 'IST PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> UNIT 11 CITY LIGHTS-SEPI <br /> PERMIT CONDITIONS <br />:,i 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 ot Everett Design and Construction Standards <br /> and Specificalions. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Slandard#'s 601, 602, 604. <br /> 5. Connect rooftop downspouts to lhe drainage sy�slem provided for this lot. W <br /> 6 Install erosion conlrol measures as determined by the Public Works inspector, such as silt fence, slrav:bales, � <br /> sv✓ales, or erosion blankets. � <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. V� <br /> 8. Adjust water meter box t" above sidewalk grade. � <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425339-7404 (or questions and inspections � <br /> � <br /> i � «>; � �� . '�1 � <br />; �I ,; v, <br /> I '.:�EC 1 2 2012 I��; a <br /> !_ .. <br /> i , �I ! `,' .I:I l , <br /> � ���, , . <br /> ACKNOWLEDG[A1rNT OF CONDITIONS <br /> The undersigned ov:ner/applicanl hereby agrees to hold and <br /> save harmless lhe City of[vemit Irom any ard all claims for <br /> damages costs,expenses,or causes of action that may arise <br /> ` because f ins�allation and-mainlenance o(lhe improvemenl <br /> � �.. Z or other ighl-oi-way us��herelo applied(or and further agrees <br /> to remo e same upon olice from Ihe City and to replace <br /> Approved tor Cons ruction ale public p operty damag� thereby. <br /> �r��-=.� /.�'�' _ - �. - /z- � 7///v <br /> Ft1GfCL I�iSPECTION Dale �.�7 � � , , �� <br /> Approv�:d as Constructed Signatur ot Apyficant ��� � <br /> WORK AUl HURIZED DY THIS PERh1IT P1USl��[STARTED 1'lITHIN I80 DAYS OF DAT[PERMIT 5 IkSUED AND TIiEREAfTER IS TO BE DiLIGENTLY <br /> PUHSUED lC COh1PLt�70N. THIS PERFiIT P1AY OE UNCELLED OY THE CITY UPON ANY STOPPAGE 0�1NORK ON THIS PROJECT OVER 90 DAYS DURA170N. <br />