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Date: 11/26/2012 <br /> ;�,� � pUE3L.IC WI'JR.KS PERMIT publicWorksPermil#: PW1211-030 <br /> �%� Ciry of Everett Public V�Jorks Department <br /> C%^�%��._ 3200 Cedar Street Buildin4 Permit#; C1211-013 <br /> " G7���ra_�d1;' Everen, WA 98201 Planr�ng Reference#: <br /> � (425)257-3810 <br /> Public 4Vorks f=ae 5: 5 25.00 <br /> Oth=i S: <br /> OWNER NAME AND ADDRESS: APPLlCANT NAME AND ADDRE;CS: <br /> CORNERSTONE HOM[S NW LLC <br /> PO B0� 14424 <br /> MILL CREEK WA 98�82 <br /> PHONE: 4253385868 PHONE: <br /> TAX PARCEL ID# SITE ADDRE55: 9915 1 ST PL W <br /> DESCRIPTION OF PROPOSED WORK� <br /> DRIVEWAY FQR NEW HOUSE <br /> UNIT 12 CITY LIGHTS-SEP! <br /> PERMIT CONDITIONS <br /> 1. All calls for ins�ection shall be made 24 hours in advance. <br /> 2. All work shall be performea i accordance with the permit and current City of Evzrett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 lirs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 6D1, 602, 604. <br /> 5. Connect rooftop downspouts to the drainage system provided (or this bt. W <br /> 6. Install erosion control measures as determined by lhe Public Works inspector, such as silt fence, straw bales, � <br /> swates, or erosion blankets. �"" <br /> 7. No dirt, mud, rocks or debris to be tracked onio roadway. � <br /> 8. Adjust a2ter meter box 1"above sidewalk grade. Q'� <br /> Your Public Works Inepector is Cliff Lindman. Call him at 425339-7404 for queslions and inspeclions � <br /> 1 r� � <br /> I � ' � 1 F� <br /> � <br /> II �EC � 3 2t112 �i_i�, O <br /> a <br /> ;'� � �;" l)I' 1'.Vl;i�.'. � <br /> � . <br /> ACKNO`NL[DGEM[M OF CONDITIONS <br /> The undersi9ned ownedapplicant hereby agrees lo hold and <br /> save harmless ihe City o(6veiett from any and all claims for <br /> � damages, cosis, expenses, or causes o(action that may arise <br /> becausyy o(installalion and�(riain�enance of ihe improvemeni <br /> or otherrighPof-way use herCto applied for and Wriher agrees <br /> Z /O" ��Z to remo�je same upon no icv from the City and lo rep�e <br /> Approved for Conslruclion ate public p operty damage ereby. <br /> i�'- �" 7 <br /> r��'.:�� ,J� , _„-..-._— ._- � — <br /> l � ,�' �Z 17 /��i <br /> FIN i'INSPECTION '' Date <br /> Approved as Construcled ��'- �3 Signal re of Applicar�� I�ate / <br /> PuORK AUTHORIZED BY TNIS PERPi1T h1UST E3E STARTED 14ITHIN 180 DAYS OF DATE PER�IIT IS iSSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COIQPLETION. THIS PERPIIT P1AY�[CANCEILED 6Y TNE CITY UPON ANY Si�PPAGEbR1NORK ON THIS PRO]ECT OVER 90 DAYS DURA7ION. <br />