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' , �i`� P�� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 10/11 /2010 <br />Public Works Permit #: PW1010-005 <br />Buildin� Permit #; B1007-064 <br />Planninq Reference #: <br />Public Works Fee $: $ 100.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />ACHILLES USA INC - - ' - .� <br />� G� �, �' �'� . _ �' ?� <br />P O BOX 2287 <br />EVERETT Wq 98203 <br />PHONE: PHONE: <br />TAX PARCEL ID # 00392200000700 SITE ADDRESS: 1407 80TH ST SW <br />DESCRIPTION OF PROPOSED WORK: <br />CLEAR 1.5 ACRES OF ALDERS <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. This permit for removal of trees only <br />5. Keep City streets clean at all times <br />6. Any damage to city infrastructure must be repaird or rplaced as determined by the City Public Works inspecto�`; <br />(CALL RANDY ALLEN AT 425-339-7403) - � <br />7. This work done in conjuction with additional site development work under permit review (PW1010 0�6). <br />SEPA10-21 for this job completed as well as forest practice permitting. <br />� <br />c_ e `.L,. �-G�,./'� /U-// /C� <br />Appro d f Construc �� Date <br />� ,� � <br />�,�� -.�/��,, �� —� � _�C-' <br />INAL INSPEC ON Date <br />Approved as Constructed <br />�� <br />�---� �, � �:_':': <br />: ' �1 <br />�._; �"' '.... <br />r;,;,� <br />, � <br />� <br />� <br />� <br />� <br />F"J <br />'� <br />'� <br />�"'� <br />� <br />'_ � <br />''-QI <br />�_.� r:'::� <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 />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 />public property damaged thereby. <br />_ , �; , � <br />! �!�l���i�(,v�\� //��i[;� <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />