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PUBLIC WORKS PERMIT Date: 11/1412012 <br /> � Public Works Permit#: PW1211-015 <br /> City of Everett Public Works Department guildinp Permit#; C1210-026 <br /> .; C�, s r �� 3200 Cedar Street <br /> Everett, WA 98201 Plannirq Reference#: <br /> (425) 257-8810 public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CORNERSTONE HOMES NW LLC <br /> PO BOX 14424 <br /> MILL CREEK WA 980£._ <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 9920 1 ST PL W <br /> DESCRIPTION OF PROPOSED WORK� <br /> DRIVEWAY- NEW HOUSE <br /> Jnit 13-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 per(ormed in accordance with the permit and currenl City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3 Call Location Undergrcund Service 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> 4 Connect side sewer per City Standard#'s 601, 602, 604 <br /> 5. Connect rooftop downspouts to lhe drainage system provided for this Iot. � <br /> 6. Install erosion control measures per City of Everett Standards for small parcels. F <br /> i. No dirt, mud, rocks or debris to be tracked onlo roadway. rr <br /> � <br /> Your Public Works Inspector is CIiH Lindman. Call him at 425-339-7404 (or questions and inspections m <br /> 0 <br /> � <br /> � �,_.�. : , ��_, ��`�i � <br /> f I <br /> II DEI. 1 � Z012 II-!l � <br /> a <br /> ; � : ": i � , <br /> TO POSTING �I I J <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless lhe City of Everett Irom any and all claims for <br /> � damagos, costs, expenses, or causes of aclion thal may arise <br /> � becaus of ins�allation and maintenance of Ihe impruvement <br /> ,7 or othe�righl-of-way use reto applied for and lurther agrees <br /> ____�7���1���//f Y�— b rem ve same upon n tic�(rom the City and to replace <br /> Approved for C sEru tion Date public roperty damage t�ereby. ` <br /> �.�� '�� `'�� ' � � � <br /> F-1 CENSPECT10l Date 'I <br /> Approved as Constructed 7.� '-� Signatp\re of App/iica tl D e <br /> 1'JORK AUTHORIZED BY THIS PERMIT h1U5T BE STARTED WITHIN 160 DAYS OP DAT[PERMIT IS IS�ED AND THEREAFfER IS TO BE DIIIGENTLY <br /> PURSUED TO COPiPLEr10N. THIS PERMIT MAY OE CANCELLED BY THE CITY UPON ANY STOPPAGE VlORK ON THIS PROJECT OVER 90 DAY$DURATION. <br />