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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett. WA 98201 <br />(425)257-8810 <br />Date <br />12/2/2009 <br />Public Works Permit #: <br />PWO912-003 <br />Building Permit #: <br />C0912-004 <br />Planning Reference # <br />Public Works Fee $. <br />$ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />CAMDEN COURT LLC OWNER <br />3726 BROADWAY #301 <br />EVERETT WA 98201 <br />PHONE: 4252122210 PHONE: <br />TAX PARCEL ID # 0039230000103 SITE ADDRESS: 212 92ND ST SW <br />DESCRIPTION OF PROPOSED WORK <br />NEW HOUSE (BASIC 332) <br />MCWHERTER LANE SPACE <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 I — <br />4. Connect rooftop downspouts to the drainage system provided for this lot <br />5. Install erosion control measures per City of Everett Standard (2-1.1 of Stormwater Manual) for small parcels <br />6. No dirt, mud, rocks or debris to be tracked onto roadway <br />7. No building materials to be stacked on roadway am. roadway to be kept clean and open for pedestrian travel <br />8. Contact the Mukilteo Water District for connecting provisions for this building's water and sewer services <br />9. Grading to be done so as not to impact adjoining properties. Slopes to be no steeper than 2.1 and any <br />rockeries/retaining walls must be Tor less unless approved by Public Works Insperior <br />FOR PUBLIC WORKS INSPECTION CALL CLIFF LINDMAN AT 425-339-7404 <br />Ap roved for Construction Date <br />F SPEC IT ON Date <br />Approved as Constructed <br />TO PC` <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 />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby <br />---_ L% Ilk 1" `I <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 15 TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI5 PROJECT OVER 90 DAYS DURATION. <br />