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&ZI, n il - <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 aadar Street ljg-i. ,.: j i(a) <br />Evere P 98201-1 <br />(42 2-8810 <br />F'ERHIT He.AIM14 <br />Date: <br />Public Works Permit #: <br />09:1`i Buildinq Permit #, <br />02 (*nninq Reference #: <br />Et i <br />Public Works Fee $: <br />Other $: <br />8/612009 <br />PWO908-020 <br />C0908-014 <br />$ 25.00 <br />AP ICFNT NAME AND ADDRESS: <br />OWNER NAME AND ADDRESS: <br />1 <br />HEf, <br />CAMDEN COURT LLC <br />1 <br />PLBG <br />3726 BROADWAY #301 <br />1 <br />NNE <br />4 <br />4. <br />EVERETT WA 98201 <br />PHONE: 4252122210 <br />CHEN <br />PHON13b -.,i <br />TAX PARCEL ID # 0039230000103 <br />SITE ADDRESS: 219 S2ND :.- SW <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 331) <br />MCWHERTER LANE SPACE <br />Ir <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. <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 Inspector <br />FOR PUBLIC WORKS INSPECTION CALL CLIFF LINDM.AN AT 425-339-7404 <br />r0 POSTING ""'L <br />Approved for Construction Date <br />r,` <br />FINM'1SPECTION Date <br />Approved as Constructed <br />I� <br />C <br />z <br />C <br />F <br />C <br />C. <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 ca.rses 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 no'ice from the City and to replace <br />public property damaged thereby. <br />� 511e/6g <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 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 />