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r <br /> PUBLIC WORKS PERMIT Date: 4/2/2015 <br /> Public Works Permit#: PW1504-010 <br /> City of Everett Public Works Department <br /> fir,.�A f.-77- <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> ot <br /> (425)257-8810 Planning Reference#: <br /> Public Works Fee$: $ 50.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JAMES HEIGHTON JANE KOLER <br /> 1242 YOUNGWOOD ROAD PO BOX 2509 <br /> CAMANO IS. WA 98282 GIG HARBOR WA 98335 <br /> PHONE: 4259314021 PHONE: 2538531806 <br /> TAX PARCEL ID# 00691300000300 SITE ADDRESS: 10024 19TH PL W <br /> DESCRIPTION OF PROPOSED WORK: <br /> RESTORATION OF Swamp Creek illegal stream alteration <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. All work shall comply with all provisions set forth in Washington Department of Fish and Wildlife Hydraulic Project <br /> Approval Permit Number 2015-4-41+01. <br /> W <br /> Your Public Works Inspector may be reached at 425-339-7404. Please call to schedule a pre-construction meeting [� <br /> prior to begining any work under this permit. t il <br /> C <br /> Z <br /> 0 <br /> E--+ <br /> ck <br /> APPROVED C <br /> ,PLANNING & COMMUNITY a <br /> DEV' MENT DEPT. <br /> BY <br /> DATE tt -Z- 7,01( <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> 'ir 1 / C. 441/z,OL5 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 /> A pproved for onstruction Date p - .- -d Iereby. <br /> t` — _- • -1 (-0 COPY <br /> FINAL INSPEC 0 Date <br /> Approved as Constructed 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 <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 />