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PUBLIC�ORKS PERMIT � Date: 10/5/2015 <br />Public Works Permit #: PW1510-007 <br />City of Everett Public Works Department <br />3200 Cedar Street Buildinq Permit #; PW1509-011 <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />Alan Harvey <br />1106 N. 40th St <br />SEATTLE Wq 98103 <br />PHONE: 9045012244 <br />TAX PARCEL ID # 00411300101300 <br />CLEARING OF DIRT STOCKPILE <br />Alan Harvey <br />1106 N. 40th St <br />SEATTLE Wq 98103 <br />PHONE: 9045012244 <br />SITE ADDRESS: 3827 WETMORE AVE <br />CLIMAX LAND CO S 1ST ADD TO <br />PERMIT CONDITIONS 13 & N1/2 LOT 14 <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. Install any necessary erosion control measures per City of Everett Standards and as determined by the Public <br />Works Inspector, such as silt fence, straw bales, swales, or erosion blankets. <br />5. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />6. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction <br />and with all other inspection requests. See attached to request an inspection. <br />Public Works Fee Breakdown: <br />Clearing (15CY) $25.00 <br />�����t lo --.s -,2ors <br />Approved for Construction Date <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 />�'�� D�� � Zo /.� <br />/ <br />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 />��! � <br />