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PUBLIC WORKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett PLJOIC Works Department <br />3200 Cedar Street il c: to i lU- It Buildinq Permit #; <br />Everett) lA6A 98201 RcG-1 f''Oiarminq Reference #: <br />(425)257-8810 <br />i }TIT f(p,w]INJ7 Public Works Fee $: <br />Other $: <br />11 /3/2009 <br />PWO911-004 <br />C0911-003 <br />$ ?5.00 <br />OWNER NAME AND ADDRESS: <br />1 <br />(�(,'({� <br />_1 <br />APPLICANT NAME AND ADDRESS: <br />CAMDEN COURT LLC <br />I <br />1'/C <br />OWNER. <br />3726 BROADWAY #301 <br />1 <br />1 <br />FUG <br />M,CJE <br />11140.1u <br />425 <br />EVERETT WA 98201 <br />1 <br />S C <br />U.00 <br />C4.50 <br />PHONE: 4252122210 <br />TL <br />$1 <br />• WHONEB5 <br />TAX PARCEL ID # 0039230000103 <br />SITE A ESS: 217 9°RD PL SW <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 331) <br />MCWHERTERLANE, SPACE <br />42 <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 Ine 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 3' or less unless approved by Public Works Inspector <br />FOR PUBLIC WORKS INSPECTION CALL CLIFF LINDMAN AT 425-33Q-7404 <br />Approved for Construction Date <br />L NSP CT N Date <br />Approved as Constructed <br />Lz7 <br />F <br />m <br />C <br />0 <br />C <br />M.1 <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 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 property damaged thereby. <br />dv . <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY TH15 PERMIT MUST BE STARTED WITHIN :BO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGiNTLY <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 />