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� . :� r 'I <br />PUIBLIC WORKS PERMIT <br />Ciry ol Everett Publlc Works Department <br />3200 Cedar Streel <br />Everettj WA 98201 , <br />j425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />CAMDEN COURT LLC <br />3726 BROADWAY STE 301 <br />FVERETT WA 98201 <br />°HONE: 4252122210 <br />AX PARCELIDp 00392300001003 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOME (BASIC 3:12) <br />tl�1�.�,�5i1_t,'� <br />PHONE ' <br />Date 7/10/2009 ; <br />Public Works Permit # PW0907-014 <br />Buildinq Permit k. C0907-009 <br />P18nninq Reference # <br />Public V�'orks Fee $. $ 25 00 <br />Other $ <br />NAMF AND ADDRESS: <br />SITE HDOK['S: 232 93RD PL SW <br />AICWHERTER LANE, SPAC[ <br />'ERMIT C!)NDITIONS <br />t All calls for inspection shall be made 24 hours in advance <br />2 All work shall be performed in accordance �vith the permlt and currenl City of Eveiett Design and Construclion Standards <br />and Specifications <br />3 Call Location Underground Service 4B hrs before you dig TOLL FREE NUMBER 871 �- <br />4 Connect rooflop downspouts to the drainage system provided for this bl <br />5 Install erosion control measures per City of Everett Standard �2-1 1 of Slormwater Manu�l) ior small parcels <br />6 No d�rt mud, rocks or debris to be tracked onto roadway <br />' No budding matenals to be slacked on roadway and roadway to be kept clean and open for pedestrian travel <br />8 Contacl the Muki4eo Waler District lor connechng provisions lor this bwldmg's water and sewer services <br />9 Gradmg to be done so as not to impact adjoming properties Slopes to be no steeper than 2 1 and any <br />rockenes/retaining walls must be 3' or less unless approved by Pub,�c Works Inspector <br />f-OR PU[3UC WORKS INSPI-CTION CALL C�IFF LINDMAtJ AT 425-33t3-7404 <br />�-,i��� �. <br />�� � a li '�� <br />Approved for Consiruchon Date <br />r' :_ ..—�:" .-,�/`�ti—': y ��•--� <br />� iN iNSPECTION Date �1 <br />F�pproved as Conslructed ��' " Z�''�' / <br />ACKNOWIfDGEMLNT OF CONDITIONS <br />1 hc undeisigned ownedapplicanl hereby agrees to hold and <br />save barmlr.ss Ihe City of EvereU trom any and all claims for <br />damag!�s, cos�s, ezpenses, or causes ol action thal may anse <br />because of installahon and maintenance of Ihe improvemen� <br />or other �ighl�obway use herato applied lor and lurtl�er agrees <br />lo remove same upon r.o�ice from ihe City and lo replace <br />pubGc property damaged tj�erebV. <br />(,C�^— P}1 �� <br />/ �/��— L)u:ne( � LO O% <br />C <br />;,ignAture of Applicant <br />Date <br />1,7JRK AUTHORIZFD BY THIS PERMIT MUST BE 51ARTFD WITHIN I80 DAY$ OF DATC PERMIT IS ISSUED AND THEREAFl�ER IS TO BE DILIGENTLY <br />P� IR ;UfD TO COMPlET10N 1 HIS PFRh11T MAY BE CA CE� D Y THE CITV UPON ANV SiOPPAGE OF WORY ON THIS pROJECT CVER 90 DAYS DURATION. <br />�,� NOS�iINC;�Z��B'�'�I <br />