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PUBLIC WORKS PERMIT <br />Ciry of Everett Public Works Department <br />�,.� ,,,, 4,;��, . 3200 Gedar Street � <br />EvereQ; ypp� 98201 <br />(425)257-8810 <br />, �Pi. r,!;)i". <br />OWNER NAME AND ADDRESS: !1�� ; i; I AP� QC �� i j <br />CAMDEN COURT LLC <br />3726 BROADWAY #301 <br />EVERETT WA 98201 <br />PHONE: 4252122210 <br />�AX PARCELID p 0039230000103 <br />DESCRIPTION OF • .20POSED WORK: <br />NEW HOUSE (BASIC 333) <br />fJt,ii,ii�� <br />r`�� ;wi <br />� . <br />'i� l �i; .i.f.!1 <br />.. PHONE:�, �'. <br />Date: 8I6/2009 <br />Public Works Permit #: PW0908-011 <br />Buitdinq Permit #; C0908-005 <br />(�f�nninq Reference #: <br />I Public Works Fee $: S 25.00 <br />Other $: <br />NAME AND ADDRESS: <br />SITE ADDRESS: 214 93RD PL 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 periormed in accordance witl the permd and current City of Everetl Design and Construction Slandards <br />and Specdicahons. <br />3 Call Location Underground Service 48 hrs before you d!g TOLL FREE NUMBER 811 <br />4 Connect rooftop downspou�s lo the drainage system provided for this lot <br />5 Install erosion control measures per City of Everelt Standard (2-1.1 of Stormwater Manual) for small parcels <br />G No dirt, mud, rocks or debris lo be iracked onto roadway. <br />7 No building materials to be slacked on roadway and roadway lo be kept clean and open for pedestrian travel <br />8 Contact the Mukdteo Water Distnct for connecting provisions for this buildma's water and sewer services <br />9 Grading to be done so as not to impac! ad�oming propeities Slopes lo 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 PUf3LIC INORKti WSf'ECTION CALL CLIPf I_INDMAN AT 425-339-7404 <br />�f'���.��- _ <br />�. ,i� / % <br />Appro d for ConstrucUon Date <br />�� �<�' _-.� '- <br />� � �-��--" <br />F INSPECTION Date <br />Approved as Constructed •��"�% - � `1 <br />,� � ���.� l;,r,` � � <br />� <br />��y <br />Lil <br />H <br />C/� <br />�Q <br />� <br />�7 <br />0 <br />� <br />� <br />a <br />hCKNOWLEDGEMENT OF CONDITIONS <br />The unAersigned ownerlapplirant hereby agrees �o hold and <br />save harmless Ihe City of Everetl irom any and all claims for <br />daniages, costs, e■penses, or causes of aclion Ihat may orise <br />because of installation and mainlenance o� ihe improvement <br />or other nght�o6way use herelo applled 1or and lurther agrees <br />to remove same upon nolice from Ihe City end to replace <br />public propeity damaged thereby. <br />�. _ ��f�.=- ���,���, r <br />SignaWre ol Applicant Da�e <br />WOIiK AltllIORI7f�D BY THIS PCRMIT MUST (�C STARTED WRf11N I80 DAYS OF DATF P[RP11T IS ISSU[U A�D THERGFTEH IS TO Bt DILIGENTIY <br />PI ut';I11 D li i l O' 1PI C I I(�P� 1 HI` PI Itr411 IanY Bf ( ANCfI I ff� BV iHt CRY U�'ON ANY SIOPPAGF OF WORK ON THIS PROJECT OVEF 90 DAVS DUM110N- <br />� <br />