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PUBLIC WORKS PERMIT Date: <br />#: <br />City of Everett Public Works Department Public Works Permit <br />3200 Cedar Street Building Permit #; <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: <br />Other $: <br />11 /5/2013 <br />PWW1311-001 <br />W 1311-002 <br />$ 250.00 <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />BLUNT KIM R & SHARON THE KIMS & ASSOCIATES CORP <br />6013 MANOR PL 101 E MARINE VIEW DRIVE #10 <br />EVERETT WA 98203 EVERETT WA 98201 <br />PHONE: PHONE: <br />TAX PARCEL ID # 29050800102000 SITE ADDRESS: 101 E MARINE VIEW DR #10 <br />DESCRIPTION OF PROPOSED WORK: <br />REMOVE SOIL FROM NORTH SIDE OF BLDG <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. As per approved plan dated 12-4-13 and the Public Works inspector's direction in the field. Randy Allen is your <br />PW inspector and may be reached at 425-339-7403. <br />5. A Restoration Plan is required to be submitted for review by January 7, 2014. The area to be restored is <br />indicated on the approved grading plan and must be restored prior to final approval of the permit. The Restoration <br />Plan shall be prepared by a biologist or qualified professional and is to include native shrubs and ground cover. <br />Izl�l� <br />for Construction <br />FINAL INSPECTION Date <br />Approved as Constructed <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 />Signature of Applicant <br />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 />