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i?UBLIC WORKS PERMIT Date <br />Public Works Permit #: <br />City ol Evered Pub6c Works Department <br />,, ,.:�..:,. „ <br />3200 Cedar Street Buildinq Permit #, <br />� [veretU LVA 98201 pl�nninq Reference # <br />f425) 257-8810 ' <br />Pubiic Works Fee 5: <br />otner $ <br />+t«;. <br />OWNER NAME AND M�RESS: �`. I APPLICA_NT NAME AND ADDRESS: <br />CAMDEN COUF.T LL:, <br />3726 BROADWAY #301 <br />EVER[TT WA 9d201 <br />PHONE: 4252122210 <br />AX PARCcLID # 0039230000103 <br />DESCRIPTION OF �'F.OPOSED WORK: <br />NEW HOUS[ - BASIC 329 <br />p; ; � <br />i i t, <br />I:Af'i' <br />SITE ADDRESS: 7_OB 97ND ST SW <br />07/28I2009 <br />PWU907-027 <br />C0907-013 <br />$ 2s o0 <br />lAT 32 OF MCWHERTER <br />f'1=RMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours in advance <br />2 All work shall be pertormed m accordance with the permd and current City of Everetl Design and Construclion Slan�ards <br />and Speci6cahons <br />:1 Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 8't1 <br />4 Connect rooftop downspouts to the drainage system provided for this lol <br />5 Install erosion control measures per City of Everetl Standard (2-1 1 of Stormwater Manual) for small parcels <br />G No din, mud, rocks or debris to Ce lracked onlo roadway <br />7 No budding r�tenals to be stacked on roadway and roadway lo be kept clea� and open for pede nan travel <br />0 Contact lhe tiiukilteo Water Distnct for connechng provisions for ihis building's water and sewer services <br />� Grading lo be done so as iot to impacl ad�oining properties Slopes to be no steeper than 2 1 and any <br />rockeriesireta�nmg walls must be 3' or less unless approved by Public Works Insper.lor <br />f OR PURUG WOI�'.kS INSI'f GTION CAI_I CI If f! INDMAN AT� 475�339-%404 <br />40 POSTING_-- ' , `, ' <br />- ' ��rr/ir�_ D�-18-09 <br />Appfoved for Construction Date <br />� � <br />�'��_� ���»-+---- <br />f"1 A INSPECTION Date <br />Approved as Constructed /�'- zJ ��`� <br />Gia <br />� <br />� <br />m <br />� <br />.., <br />% <br />� <br />F <br />� <br />O <br />a <br />ACKNOWI CDGEMFNT OF CONDI110NS <br />The undersigned ownerlappi�cant hereby agrees to holA and <br />save harmless Ihe City ol Everett Irom any and all daims '. r <br />damages, cos�s, expenses, or causes of action ihal may anse <br />because ol installaUon and mamtenance ol �he unprovemenl <br />or olher nght-of-way use hereto 2ppiied lor and lurther ayrees <br />to remove same upon nolice Irom the City and to iepiace <br />public property damaged Ihereby. <br />��.���� ��s�,�_- <br />Signature ol Applicant <br />Date <br />�yi 7RK AUiHORCfD BV THIS P[F1MR MU51 BF STARTf D WITHIN IPO DAYS OF DATF VER14fT IS ISSUED AND THEREAFTER IS TO BE DILIGFNTLY <br />I i n: �,i I� �, I n( � i�qrl [ I I��N I iqt PI NF111 nIAY Ill. CANCI 11(U �V �Hf QTY UPON ANV 510PPAGE Of WORK ON THIS PROIEGT OVER 90 DAYS DIIRATIO�� <br />