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PUBLIC WORKS PERMIT Date: 9/30/2009 <br /> City of Everett Public Works Department Public Works Permit#: PW0909-027 <br /> a 3200 Cedar Street 1(114J) 12;¢1 Buddinq Permit #. C0909-016 „ <br /> cf!' i1 1 f Everetl,-IWA 98201 <br /> r:Li,-1 020janninq Reference# <br /> (425) 257-8810 17 . <br /> C'Lrall 1(o.6`iU901( Public Works Fee $ $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: I IILCH APP'( ¢"T,NAME AND ADDRESS: <br /> 37321 LLC I PLHD $140.W <br /> 3732 BROADWAY I DRIVE $25.00 <br /> EVERETTWA 98201 1 S C $4.50 <br /> q C1310001 <br /> PHONE: 4252633500 1 SEVER PHONrC1. 0 <br /> TAX PARCEL ID N 00393900200700 SI RSS: 1611 78Th PL SE <br /> DESCRIPTION OF PROPOSED WORK: 1L $4'O r 1.85 <br /> NEW HOUSE -BASIC 324 CORD $4,071.85 <br /> LOT 3 SHORT PLAT <br /> 1202-06-029(STONE RIDGE <br /> PERMIT CONDITIONS HEIGHTS) <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 his before you dig. TOLL FREE NUMBER 871 <br /> 4 Connect side sewer per City Standard Vs 601, 602,604. <br /> 5 Connect rooftop downspouts to the drainage system provided for this lot. <br /> 6 Install erosion control measur-4 per City of Everett Standards for small parcels E" <br /> 7 All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site <br /> No wasting of material is allowed on this building lot. <br /> 8 No dirt, mud, rocks or debris to be tracked onto roadway m <br /> 9 No building materials to be stacked on sidewalks and sidewalks to be kept clean and open for pedestrian travel Q <br /> along Beverly Blvd. <br /> 10. Adjust water meter box 1"above sidewalk grade z <br /> Fol inspection, call Cliff Lindman at 425-339-7404 C <br /> C <br /> a <br /> Tn nnn rnrn — 20 - I ACKNOWLEDGEMENT OF CONDITIONS <br /> 1 w T-V%) I I IY V 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 /> /n( I. _ because of installation and maintenance of the improvement <br /> l'%L.1Y�J or other right-of-way use hereto applied for and further agrees <br /> A proved for Construction Date to remove same upon notice from the City and to replace <br /> public property damaged t <br /> .FML INSPECTION Date <br /> Approved as Constructed 1-21-10 Signature o1 Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED V::. 41N 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />