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PUBLIC WORKS PERMIT Date: 10/27l2009 <br /> Public Works Permit#: PW0910-025 <br /> City of Everett Public Works Department ,. <br /> 3200CedarStreet �'! �;--`!" ;'-"-' i;:yi BuildinqPermit#; <br /> �', �ds� Evere�•IfdA 98201 r_�r: � '" ' <br /> '�',;'��2nninp Reference#: <br /> (425)257-8810 <br /> , .. „_ ,.��,;��,;.�0'�;; Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: 1 TL � ��IC��f�T NAME AND ADORESS: <br /> BOVEY SARAH E ��`^'I) p��,j`j <br /> 4511 COLBY AVE <br /> EVERETT WA 98203 <br /> PHONE: 4259031611 PHONE: <br /> TAX PARCE�ID N 00407801101000 SITE ADDRESS: 4511 COLBY AVE <br /> OESCRIPTION OF PROPOSED WORK: <br /> REGRADING 8 EXCAVATING <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shail be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Cail Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Keep City streets clean at all times <br /> 5. Replar,e any sidewalk that is broken during this construction W <br /> 6. Grading shall be done so as not to impact the adjoining property <br /> 7. Installation of a driveway at this location will require a separate permit � <br /> � <br /> For Public Works inspections contact Randy Allen at 425•339-7403 � <br /> � <br /> � <br /> z <br /> 0 <br /> H <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless Ihe City of Everett fiom any and all claims for <br /> damages,costs.expenses, or causes of action thal may arise <br /> because of inslallation and maintenance ol the improvement <br /> {�c����� �D-�7_ � or other rigM-of-way use hereto applied(or and fuhher agrees <br /> A r e for COnSIr io Date to remove same upon notice From lhe City and to replace <br /> pp public property damaged thereby. <br /> �� �� �- Z�'-f O <br /> -INAL INS -CTION Date ��"' " �`-� �� ����'�� <br /> Approved as Constructed Signature of Applicanl Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITIIIN 180 D.4Y$OF DATE PERFiIT IS ISSUED AND 111EREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMR MAY 8E CANC[LLED BY THC CIIY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />