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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 rI6dar Street V1 <br />W EvereRSM 98201 KG-. <br />(425) 257-8810 <br />PERMIT No.t73',18024 <br />Date: 8/26/2009 <br />Public Works Permit # PWO908-047 <br />Buildino Permit #: C0908-024 <br />P1!6ninq Reference *" <br />I <br />Public Works Ft;e $: $ 25.00 <br />Other $. <br />OWNER NAME AND ADDRESS: <br />J W(H <br />APPLIQA►kj NAME E AND ADDRESS: <br />CAMDEN COURT LLC <br />1 F'/C <br />1 F'LDG <br />$100.00 <br />$ 0.00 <br />3726 BROADWAY #301 <br />1 DRIVE <br />125.00 <br />EVERETT WA 98201 <br />1 S C <br />114.50 <br />PHONE: 4252122210 <br />TL <br />^ k}1�f11EaBrJ <br />TAX PARCEL ID N 0039230000103 <br />SITE ADDRESS: 204 93RD PL SW <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 332) <br />MCWHERTER LN SPACE 2 <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 />arid Specifications <br />3 Call Location Underground Service 48 firs before you dig TOLL FREE NUMBER 811 <br />4 Connect rooftop downspouts to Ih,t drainage system provided for this lot <br />5 Install erosion control measures Tier 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 kep: 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 3' or less unless approved by Public Works Inspector <br />FOR PUBLIC WORKS INSPECTION CALL CLIFF LINDMAN AT 425-339-7404 <br />Approved for Construction Date <br />NX NSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF C NDITIONS <br />The undersigned ownerlapphca77l b s to hold and <br />lava harmless �Elo n all claims for <br />damn c that may arise <br />becau f is lion and ma ntenen a 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 />A( ((. � ,1/0!/c s <br />W <br />m <br />C <br />z <br />0 <br />to <br />C <br />a. <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 />