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1 . <br /> #0Ip. PUBLIC WORKS PERMIT Date: 11/21/2012 <br /> City of Everett Public Works Department Public Works Permit#: PW1211 028 <br /> OR TT 3200 Cedar Street Building Permit#; C1211-014 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> 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 98082 <br /> PHONE: 4253385888 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 9904 1ST PL W LOT 26 <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> CITY LIGHTS LOT 26 <br /> PERMIT CONDITIONS <br /> 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 of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location 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 system provided for this lot. <br /> 6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. h--1 <br /> 8. Adjust water meter box 1" above sidewalk grade. <br /> Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for questions and inspections C <br /> Z <br /> C <br /> DDEC 1 2 ?01? P-1 <br /> TO POSING 1 <br /> CITY Of EVERETT <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> becau-e of installation an. .intenance of the improvement <br /> or th_ r right-of-way use - o o applied for and further agrees <br /> ��O ' Z-- t rem Ave same ,1 n <br /> upon p from: the City and to replace <br /> Approved for Construction Date ublic •roperty damage. ereby. <br /> Fl SPECTION Date <br /> Approved as Constructed Signa ure of App a t Dat• <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PE', IT IS .SUE►, AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY S OPPAG- :" WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />