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.., � � <br /> � <br /> PUBLIC Wf�RKS PERMIT Date: 6/17/2013 <br /> Public Works Permit#: PW1306-018 <br /> ' City of Everett Public Works Department <br /> "`~� ;y� 3200 Cedar Street Buildinq Permit#; C1303-007 <br /> [verett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee 3: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICAN7 NAME AND A�DRESS: <br /> JORGENSEN TRAVIS& DEONNA JORGENSEN TRAVIS & DEONNA <br /> 4710 GARDNER AVE 4710 GARDNER AVE <br /> EVERETT WA 98203 EVERETT Wq 98203 <br /> PHONE: 2063079531 PHONE: 2063079531 <br /> TAX PARCEL ID ii 00417400003100 SITE ADDRESS: 4710 GARDNER AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> TREE R[MOVAL W/EQUIPMENT <br /> (6I18/2013 10:54 AM BES) <br /> TREE REMOVAL W/ EQUIPMENT <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be rnade 24 hours in advance. <br /> 2. All work shalt be performed in accordance with the permil and current Ciry of Everett Design and Construclion Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 8 i 1 <br /> 4. NO DIRT, MUD, ROCKS OR DEBRIS TO BE TRACKED ONTO ROADWAY. <br /> 5. REMOVE TR[ES(2)WITH MACHINE AS SHOWN ON THE SKETCH �j �- i�:1 <br /> 6. CONTACT CITY INSPECTOR RANDY ALLEN 425-339-7403 PRIOR TO STARTING THE JOB. • �` lA: �W <br /> �>��G' � <br /> `_' C/� <br /> •=� �;� 1-- <br /> ., <br /> - —_. __ .- - - -- - - - — ,�, __ . —� <br /> J1 I�_ •�O <br /> 1 II� <br /> ' .1`_ <br /> �f.� � 1 <br /> i`-�I i O <br /> �.� �i ;.. _� <br /> ��'..J�`�� 'i� <br /> :C l) �. <br /> �'�: . <br /> .._ � ... :�i_. 1=0 <br /> r ^ <br /> r'_ h�� <br /> �_ :-. <br /> ACKNOWLf_UGFMGNT OF CONDITIONS <br /> Thc undersipned ovmcr/applicant herrby agrees to hold and <br /> / save harmless the Cily o(Evcrelt(rom any and all claims lor <br /> damages,cos�s, expenses,or causes ot aclion ihat may arise <br /> because of installation and maintenance of the improvement <br /> � � � ��� or olher right-of-way usc herelo applied for and(urther agrees <br /> Ap�� 0 (O COII. � ate lo remove same upon nolice(rom!he City and Io replace <br /> public property dam,�gcd thereby. <br /> , �� � _z�_ i � � (\� _ <br /> FINAL INSP TION Date �— —V ��0���/�3 � <br /> ApprovP.d as Construcled Sig� � re of Applican � Dale � <br /> I <br /> 6VORN AUTHORIZED 6Y TIIIS PERI�IIT MUST[lE STAR�[D WRFIIN 180 DAYS OP DAT[PFHh11T IS ISSUED AtJD 7Hf.REAR[R IS TO O[UIUG[NTLY <br /> PURSUED TO COMVLETION. THIS PERh1IT 14AY OE CANCELLED DY TIIE CITY UPON ANY STOPPAGF:OF WORK ON THIS PROJECi OVFR 90 DAYS DURATION. <br />