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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 />OWNER NAME AND ADDRESS: <br />CAMDEN COURT LLC <br />3726 BROADWAY #301 <br />EVERETT WA 98201 <br />PHONE: 4252122210 _ <br />'AX PARCEL ID # 0039230000103 <br />DESCRIPTION 0" PROPOSED WORK: <br />NEW HOUSE (BASIC 331) <br />Date: <br />11/30/2009 <br />Public Works Permit #. <br />PWO911.035 <br />Buildinq Permit #: <br />C0911-023 <br />Planninq Reference #: <br />SEPA06-010 <br />Public Works Fee $: <br />$ 25,00 <br />Other $ <br />APPLICANT NAME AND ADDRESS. <br />OWNER <br />PHONE <br />SITE ADDRESS: 216 92ND ST SW <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 F- <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 and roadway to be kept clean and open for pedestrian travel E' <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 m <br />rockeries/retaining walls must be Tor less unless approved by Public Works Inspector C <br />FOR PUBLIC WORKS INSPECTION CALL CLIFF LINDMAN AT 425-339.7404 <br />F <br />C <br />a <br />Appfoved for Construction Date <br />as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownertapplicant 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 properly damaged thereby. �{ <br />Signature of Appocant <br />Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS L•F 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 THIS PROJECT OVER 90 DAYS DURATION. <br />