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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar S�reet <br />Evoretl. WA 98201 <br />(425) 257-8870 <br />IWNER NAME Steven DeRosa <br />NUADDRESS: <br />3413 Federal Ave <br />EVERETT WA 98201 <br />PMONE� 4?,53392242 <br />ICANT NAME <br />ADDRESS: <br />PHONE: <br />oe�e �/�6/�OQ3 <br />Public WoAcs Permit M pwQ�O�—Q W 2 <br />Building Permit M <br />Planning Relerence N <br />Public Works Fee E $g3. 00 <br />Guarantee S <br />� _ ,� <br />.,-_'�� ���� �1�/��� �� <br />` ;,,�� Z.�os, /3� <br />�� <br />I.D. ♦ <br />3413 Federal � 1Cve �' <br />PROPOSEDwo°RK: place fill in backyard to even out slope Approx 200 cu <br />yd <br />PERMIT CONDITIONS <br />1. All cails for inspection shali be made 24 hour, in advance - phone (425) 257-8810 <br />2. Ail work shall be peAormed in accordance with this permit and currenl City o( Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. This permit is for placement of fill for landscape improvement -:he <br />city has not revieWed this fill for structural purposes. The maximum <br />slope of unrestrained fill material shall not exceed 2H:1V. <br />5. Rooftop runoff from the dovnspouts on the back of the house shall be <br />tightlined to the drainage feature at the eastern edge of this <br />property. <br />6. Key the ner+ fill into the existing slope. Remove landcaping and <br />other debris from the fill site prior to placement of new fiil dirt. <br />7. Install erosion control measures as directed by the public works <br />inspector in the field. All exposed ground must be reseeded vithin 30 <br />days of the completion of construction. If reseeding is not practical <br />due to weather or seasonal problems, the ground must be covered with <br />mulch as directed by the City Engineer. <br />�. ��( 339�74�3 -� z��.� <br />�� bl �Z wLr� i h s�ec�c r <br />P�-�on��ton wiec�ing w� �k.e. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />'�A <br />V/ <br />W <br />Q <br />� <br />Z <br />� <br />�,A <br />V+ <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciy of Everett irom any and all claims for <br />damages, costs, expenses, or causes ol adion ihat may arise <br />because of installation and maintenance ol the imprwement or <br />other rightof-way use hereto applied lor and IuMer agrees to <br />remove same u tico from the City arM to replace ublic <br />prope ma er <br />� 2 O <br />/ gnature ol Applkam Date <br />WORK AUTI{ORIZED BY 7HIS PERMIT MUST BE STARiED WITHIN 180 OAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 1fl15 PHOJECT OVER 90 DAVS DUMTION. <br />