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� P <br /> P�IJBLIC WORKS PEItMIT Dale: 11/14/2012 <br /> Public Works Permit#: PW1211-012 <br /> `` � City of EvereU Public Works Department guildinp Permil#; C1210-029 <br /> 3200 Cedar Street <br /> �r• ��'�' ��t``�� Everett, WA 982ot Planning I�.eference#: <br /> v (425)2��-8810 <br /> Public Wo�ks Fee S: 5 25.00 <br /> Oth�r 5: <br /> OWNER NAME AND ADDRESS APPLICANT NAME AND,10DRESS: <br /> CORNERSTONEi HOPAES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 98�8' <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 991 B 1 ST PL W <br /> DESCRIPTIUN OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HO�1SE <br /> Unii 21-City Lights-01101200 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be periormed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 601, 602, 604. ;:, <br /> 5. Connect rooftop downspouts to the drainage syslem provided for this IoL W <br /> 6. Install erosion control measures per City of Everett Standards for small parcels: F <br /> 7. No dirt, mud, rocks or debris lo be tracked onto roadway i..i <br /> � <br /> Yuur Public Works Inspeclor is Cli(f Lindman. Call him at 425-339-7404 for questions and inspections � <br /> 0 <br /> ,�—. �_.1 . � � � <br /> P N L G . <br /> r�^ <br /> V1 <br /> O^ � <br /> ^ <br /> TO POSTING `��'���'�' <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicaN hereby agrees lo hold and <br /> save harmless lhe City of Everell(rom any and all claims for <br /> damages,costs, expenses,or causes ot aclion thal may arise <br /> � b�ca se of installation and maintenance of the improvement <br /> /, �j �� i�`� or oU r right-o6way u herelo applied(or and(urther agrees <br /> , to rei ove same upon tice from Ihe City and to replace <br /> Appr�r Con ructio�i Date publi property dam ed thereby. <br /> -. _ — .,/ <br /> �-.�,,--��,�%'�% --- ��_ � �-y-�- --� _ <br /> F11J$L INSPECTION Date . <br /> Approved as ConsUucled -� �'�"��ti Signa ure of Appl' nl Dale <br /> WORK AUTIIORIZCU OY 11115 I'ER�1R�tUST BE STARTED\VITHIN 180 UAYS OF DATE PER�IIT IS ISS ED ND THEREAFfER IS TO BE DILIGENTLY <br /> PURSU[D TO COPiPLETION. THIS PEF?MR h1AY BE CANCELLED 8Y THE CI7Y UPON ANY STOPPAGE RK ON TFi15 PRO]ER OVER 90 DAYS DURATION. <br />