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PUiBLIC WORKS PERMIT Date: 1 2/2 912 0 1 0 <br /> Public Works Permit#: PW1012-009 <br /> City of Everett Pubiic Works Department <br /> ;;.'r T?��✓' <br /> 3200 Cedar Street Building Permit #; <br /> Everett, WA 98201 Planninq Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: $ 0.00 <br /> Other S: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> G[RRODETT[ MICHAEL OWNER <br /> �0318 33RD .AVE SE <br /> EVERETT �/�/q 98208 <br /> - PHONE: 4252182228 PHONF: <br /> TAX PARCEL ID N SITE ADDRE55: 5505 BROADWAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> BRUSH REP�IOVAL 8 FILL TO CREATE 6UILDING SITE <br /> PER�dIT CONDITIONS <br /> 1 All calls for Inspection shall be made 24 hour� in advance. <br /> 2 All work shall be performed in accordance with the permd and current C�ty oi Everett Design and Construction Standards <br /> and Specificalions. <br /> 3 Catl Loca6on Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4 Work to be done with consideration ot the Bariermann Geolechnical Consult�ng report dated OcL 4, 2006 and <br /> adder.dum dated July 25, 2007 � <br /> 5 Fdl placement shall be done per the Omega Engineering plan dated 8/21I07. Fill work CANNCT begin until Apnl F <br /> 30. 2011 or as approved by the Publlc Works Inspector. ,,,�, <br /> 6 Keep ary streets ctean at all times. � <br /> 7 �rush removal on this project can begin now, however, till cannot begin until April 30, 2011 or as approved by tne m <br /> inspeclor O <br /> YOUR INSPECTOR IS RANDY ALLEN, 425-339-7403 � <br /> , 7 <br /> � � << �� �� � o <br /> �jc� � DEC 3 0 2010 E� <br /> C`� �� v� <br /> � Y l.Vl.��c�,1 OO" <br /> � \��5 C11, `���;�tier <br /> ACKNOWLEDG[MENT OF CCNDITIONS <br /> 1he undersigned ownerlapplicant hereby agrees to ho'd and <br /> save harmless Ihe Cdy ol[veie�t Irom any and all claims 1or <br /> //'�""'— �� _ damages.wsts.expenses,or causes of adwn that may arlse <br /> O /l because ol ins�alla�ion and mainlenance of the improvement <br /> I�j,�y/ �Z�j� .�/d or olher righhof-way use hereto applied(or and further agrcr.s <br /> to remove same upon nohce (rom the City and to replace <br /> Approved for ConslrUCUOn Daie public property damayed Iheie <br /> FINAL INSPECTION Date 1�/ �-� - o-7u�c'� <br /> Approved as ConStfuCted Signa�ure o App6cant Dale <br /> \VORK�U1110R1i[D HY THIS PCRPIIT h1U57"t3[ S7ARTED 14IT1111J IBD DAYS OF DATE PERh71T IS ISSU[D AND THEREAFTER IS TO UE DILIG[MTLY <br /> PURSUED i0 COMPLEIlON. iN15 PCRP717�F1AY I3E CANCELLED 8Y l}i[CCfI'UPON ANY STOPPAGE OF 1NORK 0'J TNIS PROJECT OVER 90 DAYS DURAIION. <br /> �� <br />