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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street ,1' , , ', <br />EVefell 98201 L'i i. <br />(425)257-8810 <br />Date: <br />9115/2009 <br />Public Works Permit #: <br />PWO909-010 <br />Buildinq Permit #; <br />C0909-007 <br />'lq�hninq Reference #: <br />Public Works Fee $: <br />$ 25.00 <br />Other $: <br />APIiA , ' t' NAME AND ADDRESS: <br />OWNER NAME AND ADDRESS: <br />j WDi <br />CAMDEN COURT LLC <br />1 P/C <br />1j','•"'' <br />3726 BROADWAY #301 <br />l M <br />1 <br />4i`C•w <br />i25.00 <br />EVERETT WA 98201 <br />G C <br />1 C <br />t4•50 <br />PHONE: 4252122210 <br />TL <br />3' <br />Maus <br />TAX PARCEL ID # 0039230000103 <br />Slit MESS: 225 93RD PL SW <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 332) <br />MCWHERTEER LANE SPACE <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 <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 />b. 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 425-339-7404 <br />Apprefived for Construction Date <br />FIN SPECTION Date <br />Approved as Constructed //- ?.O <br />91- <br />TOpOSi1NG i <br />W <br />Ca <br />C <br />z <br />C <br />C <br />am <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any ai d 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 />poles property dam ed thereby <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 />J <br />