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PUBLIC WORKS PERIVIIT <br />Gty ot Everett Public Works Department <br />3200 Cedar Street . <br />,.,.,q.,.,.,,:.-,.- � . <br />Evereflj,�(�A 98201 <br />(425)257-8810 <br />i �; <br />— � <br />OWNF.R NAME AND ADDRESS: � ,�:i AP�LIC, <br />CAMDEN CCJURT LLC <br />3726 BROADWAY STE 301 "! '' <br />['JERETT WA 98201 <br />PHONE: 4252122210 <br />TAX PARCELIDU 00392300001003 <br />DESCRIPTION OF PROPOSEO WORK: <br />NEW HUME (BASIC 329) <br />i� i;�l.:�:,t _+,"� <br />� �;,� i. PHONE: . <br />Date 7l10I2009 <br />Pubhc Works Permit #: PW0907-0 � � � <br />, Buildinq Permit #; C0907-00� <br />pl'anninq Reference #: <br />Public Works Fee S: $�5 00 <br />Other $ <br />NAME AND ADURESS: <br />SI7E ADLrt�C �� 240 93RD PL SW <br />MCWHERTERLANE,SPACE <br />PFFMIT CONDITIONS <br />��II cails lor inspeclwn shall be made 2� hours in advance <br />? All work shall be periormed in accordance with the permit and current City of Eve�eil Des�gn and Construction Standards <br />and Speci6cations <br />3 Call Location Underground Service A8 hrs before you dig TOLL FREE NUMB[R 811 r- <br />4 Connect rooftop downspouls to lhe drainage system provided (or this lot <br />5 Install eroslon c.ontrol measures per City ol Everett Standard (2-1 1 of Stormwater Manuall lor srnall parcels <br />6 No dirt. mud, rocks or debns to be tracked ontu roadway <br />/ No bwldmg materials lo be stacked on roadway and roadway lo be kept clean and open (er pedestnan Iravel <br />8 Contact the Mukilteo Water Distncl for connecung prooisions for this building's waler and sewer sernces <br />3 Grading to be done so as not to impacl ad�o!ring properties Slopes to be no steeper than 2 1 and any <br />rockenes/relaining waCs musl bP 3' or less unless approved by Pubhc Works Inspector <br />( OR PUE31 IC V��ORKS INSI'L(' 110N CAI I GI IFF l INDMAN AT 4?' d.',9-i404 <br />�7�r,i,� �-���= - ._a � i ,�� �, <br />Approved fo�onstruc0on Date � <br />_ . �� <br />FIN ' INS E O� Date ��,_ �F. �,ej <br />Approved as Constructed <br />L� <br />("' <br />� <br />m <br />� <br />� <br />7 <br />O <br />F- <br />� <br />O <br />a. <br />ncKNowi Eo���n��N1 cr coNoinoNs <br />1 i�n undeisic�ned ownedapplic2M hereby aprees lo held and <br />save harmless the Cdy ol Everetl from any and all cla�ms for <br />damages costs,expenses.orcauses olachonlhat may anse <br />because ol installalion and maintenance of ihe improvement <br />or o�her righ4ol-way use hereto epphed lor and tuither agrecs <br />to remove same upor� noUce from Ihe Gty and to ieplace <br />public property demaged thereby <br />��y A.��,�� <br />«— /�� �1``:�. <br />Signature of Apphcant <br />Dale <br />Pn 1RM AUi ll(1PIr f f? BY 1 HI ; PfRtdIT t4U5T Pf S1ARTf D WRf11N IBO DAYS OF OATE PERMIT IS ISSUFD AND TNEREAh7ER IS TO BE UItiGENTIY <br />I'i iN'dl! D I i' � u��l�'I I I I� ��� ��IIS I'I R�41I �4�v fil U�JCf 11.f D Hl� 14C CIT UPON �NY STOPPAGE'JP WORK ON TMIS PROJECf OVf'R'�U DAYS DURATION. <br />ij1 i�I�a��NG.l2�l�.���1... <br />