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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />EVefeft,WA 98201 <br />(425)257-8810 <br />Date: <br />1011 /2009 <br />Public Works Permit #: <br />PWO910-001 <br />Building Permit #: <br />C0910-001 <br />Ptonninq Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />I MEM <br />APPLICANT NAME AND ADDRESS: <br />CAMDEN COURT LLC <br />I P/C <br />OWNER. <br />3726 BROADW,AY #301 <br />1 N-BG <br />I DRIVE <br />EVERETT WA 98201 <br />1 S C <br />PHONE: 4252122210 <br />1L <br />TAX PARCEL ID# 0039230000103 <br />sitl bDbpcss: 233 93RD Pl. SW <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE (BASIC 332) <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 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 />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 F destrian 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 sleeper than 2 1 and any <br />rockeneslretaining walls must be 3' or less unless approved by Public Works Inspector <br />FOR PUBLIC WORMS INSPECTION CALL CLIFF LINDMAN AT 425-339.7404 <br />Approved for Construction f D tot <br />C INSPECTION Date <br />Approved as Constructed <br />W <br />m <br />0 <br />z <br />0 <br />F <br />C <br />a <br />ACKNOWLEDGEMENT OF C NDITIONS <br />The undersigned ownert&ma <br />lib agr as to hold and <br />save harmless the ,,��''11r nR <br />all claims for <br />damaTdQt>�1 that may arise <br />becau f 1IP5a dddddd��AAAA��----nan s that <br />or other right-cf-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />property damaged thereby <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 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 />