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PUBLIC WORKS PERMIT <br />City of Everett Public Works Dep�riment <br />3200 Cedar Slreet <br />' Everett, �!A 98201 <br />�423)257-8810 <br />OWNER NAME AND ADDRE:iS: <br />CAMD[N CT LLC <br />3726 3RUADWAY S7E 3C1 <br />[VER�=TT Wq 98201 <br />PHO(JE: 4252122210 <br />A% PARCEL ID M 00392300001003 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HUME- BASIC 330 <br />Date <br />Pubhc Works Permit # <br />Buildinq Permit #: <br />Plannino Reference # <br />Pubhc Works Fee $ <br />Other 5 <br />APPLICANT NAME AND ADDRESS: <br />OWNFR <br />PIiONE: <br />SITE ADURESS: 210 93RD Pl SW <br />1/15/2G09 <br />PW0501-U08 <br />CO�J01-005 <br />$ 25 00 <br />MCWHERTER LN- UNIT 4 <br />P[RMIT CONDITIONS <br />t All calls for inspechon shall be made 24 hours in advance <br />2 All work ,hall be pertormed in accordance wilh the permit and current City of Fverett Uesign and Construct�on Standards <br />and Specdications <br />3 Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 871 --- - <br />4 Connect rooflop downspouts to the drainage syslem piowded for lhis lol <br />5 Install erosion control measures per City of Everett Standard �7-1 1 of Stormwater Manual� for small parcels � <br />6 Keep City sheets clean at all limes � <br />7 Provide any dust cor,trol as insirucied by the Public Works Inspector <br />8 Contact the MUKILT'EO Waler Dislncl lor connecting provisions for lhis building's water and sewer se� vices f <br />9 Gradmg to be done so as not to impacl ad�oming propert�es Slopes to be no ste�per than 2 1 and any !� <br />rockenes/retaming walls must be 3' or less unless approved by the Public Works Inspector I^ I <br />I�OH I'Ufll IC VVOHKS IN,J'I CIION CAl ! Cl II I I INI?M�N AI 47!� 3_N ; �0�1 <br />. ... , � <br />.0 rUST!NG------ ------ <br />�� / <br />ll�,�,.�.� J ��4� l ��-- <br />Approved for Conslruchon Dale <br />.-.-' /� s"r �'�"�-'��,-�l� - � —� <br />f7Ap�C�NSP[CTION Dale <br />Approved as Constructed � "'la - <br />��ChN�)','dl� Ut;lt.11 N1 bl CONUIIIi?NS <br />Ihe undeisiyne� uwnei�flPpliGanl hciel�y agrecs �o hold and <br />save hannless Ihe G�y of EvereU Irem any and all clauns loi <br />aamages, cosls, ezpenses, or causes o� action that may anse <br />because ol inslalla0on and ma�ntenance ol the u+iprovement <br />or olher ngh�-of-way use hereto apphed loi anA luithei agrees <br />lo remove same upon notice hoin Ihe City and lu �eplace <br />pubGc p�operty dama9ed thereUy <br />. -1 <br />�Yl��� iC�✓` <br />Signature ol Applicant <br />=�l �-� I< <br />Uale <br />�•,nRY. nIlI11nR�; I I� 11V 1HI5 PCR�-0I1 h1U5i (3f STARICD V.'ITHIN IH�1 phVS Of pAlf GEH�-0IT IS KSUF� AND THFRFAffCR 6 TO 0C DIUGF N11 Y <br />i�� �u� �. �; i: �. ���r,�_� � I"�, ��1`, I�I �:•'17 •�n� f.! � n��ft I I I!, P� �!�I ��I�� !I�,p'� n��� �IO��I�AGI O� P:ORK O�J 1nP� PRO�I�CI OVI�R ��D DA1S UURAIION <br />