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kh A <br /> PUBLIC RKS PERMIT j pate Applied: 4/11/2018 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1804-019 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> M (425)257-8810 Public Works Fee: $65 <br /> i1 6 APR 2O1ar <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> 0 i 01) _ <br /> WILLIAM O. LEESE WILLIAM O. LEESE ^ cPi <br /> 530 VIEW RIDGE 530 VIEW RIDGE K) Uii, <br /> EVERETT, WA, 98203 EVERETT,WA, 98203 ( , 1 <br /> PHONE: 4252596845 PHONE: 4252596845 <br /> TAX PARCEL ID#: 00464700006400 SITE ADDRESS: 530 VIEW RIDGE <br /> DESCRIPTION: PLANT THREE TREES IN RIGHT OF WAY <br /> (4/11/2018 11:20 AM BES) <br /> PLANT THREE TREES IN RIGHT OF WAY <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 04/11/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Planning Dept. Kelsey Heyd at 425-257-7275 prior to starting construction for a yQ1sult4 iin, <br /> to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. :., `. ,�} <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway_,.._ . ^, _, <br /> 8. Protect all existing underground utilities during construction. <br /> 9. This permit must be finaled in order to close out this permit. Call the inspection line to regist aTtiC4r till permit <br /> when all items have been completed. <br /> Public Works Permit Fee Breakdown: '--} <br /> jai, <br /> Misc. Minor Permits $25.00 ci., <br /> PW Plan Review $20.00 .8 i,,!,;.}:E:,; <br /> PW Site Inspection $20.00 CC) ,: > :_? <br /> c---.„f•-•-•*hs <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> / The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> ���'� / 4 a expenses or causes of action that may arise because of installation and <br /> ...,/?,,„, <br /> `� P `��� pa <br /> maintenance of the improvement or other right-of-way use here to applied <br /> + .► . :d for Constructit'ublic Works) D e for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> "--- -_, fr-il> ia c -er ,7//g/i.c/.-- 10 <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />