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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />1/29/2008 <br />Public Works Permit# <br />1,140801-016 <br />Building Permit# <br />BW0801-009 <br />Planning Relerence N <br />Public Works Fee $ <br />$ 50 .00 <br />Guarantee $ <br />OWNER NAME <br />AND ADDRESS: <br />HABITAT FOR Hf1MANITY <br />APPLICANT NAME <br />AND ADDRESS: <br />OWNER <br />3201 BROADWAY #D <br />JAN G 4 ZO11 <br />EVERETT WA <br />S,8201 <br />10 POSTING_ <br />PHONE: <br />42 52 5 8 62 8 9 <br />PHONE: <br />TAX PARCEL I.D.p <br />I PROJECTADDRESS: <br />�riS - <br />6624 RDAAI'1t7L9 <br />DESCRIPTION OF <br />PROPOSED WORK: <br />INSTALLATION OF EROSION CONTROL, GRADING, <br />GRAVELING <br />AND SHORT RETAINING <br />WALL <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 this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Work to be done per approved C-1 plan dated 1-29-2008 (Copy attached) <br />5. Keep city streets clean at all times <br />Z-S-c <br />Data <br />(!x <br />L71 <br />0 <br />S308 <br />Uj <br />r <br />A <br />G <br />r <br />Z <br />GGW <br />0 <br />v <br />rO� <br />O <br />a <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 or <br />other riiqht-ol-way use hereto applied tor and further agrees to <br />rembre same upon notice from the City and to replace public <br />p [y dt`l'/.re—b <br />Am,y4 <br />Dete i <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWI' (7/06) DATABAR. INC. <br />