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Date: 4I8I2011 — <br /> ' " ' ' PUBLIC WORKS PERMIT public Works Permit#: PW1104-007 <br /> Cily of Everett Public Works Department guildinq Permit#; <br /> 3200 Cedar Street <br /> Everett,WA 98201 Planninp Reference#: <br /> (425)257-887o public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DUNKINSON, JOHN R <br /> 4827 GLENHAVEN DR <br /> EVERETT WA 98203 <br /> PHONE: 4252526675 PHONE: <br /> TAX PARCEL ID fe 00456700004500 SITE ADDRESS: 4827 GLENHAVEN DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> FAILING SLOPE-EMERGENCY REPAIR <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 the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Keep City streets clean at all times. � GTa <br /> 5. Work to be done as directed by Geotech consultants . -[•� <br /> 6. Call for inspection and provide report when work is done. � <br /> 7.Work area as noted on attached drawing. _ � <br /> FOR INSPECTION, CALL RANDY ALLEN AT 425-339-7403 O <br /> ti <br /> z <br /> �; o <br /> H <br /> � <br /> ,o <br /> � - - w <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold a��d <br /> save harmless the Cily of Everett(rom any and all claims tor <br /> demages,costs,expenses,or causes of adion that may arise <br /> ' �� because ot installation and maintenance of the improvement <br /> � _��/ or other right-of-way use hereto applied for and fuAher agrees <br /> to remove same upon notice from the Ciry and to replace <br /> Appr fof ons�i Date public property damaged thereby. <br /> �- �� IZ ,,����-- <br /> INAL INS CTION Date <br /> Approved as Constructed Sign re o(Applicant Date <br /> WORK AUTHORIZED BY THIS PERMif MUS7 BE STARTED WITHIN 180 DAYS OF DATE RMIT 15ISSUED AND THEREAFfER IS TO BE DIUGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE fANCELLED BY THE CIfY UPON AN{'STOPPAGE OF WORK ON THIS PRO)ECT GVER 90 DAYS WRATIOM <br />