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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />-��'"�`'�''y��� Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />Buildinp Permit #; <br />Planninq Reference #: <br />Public Works Fee �: <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WILL BLANCHARD PUBLIC UTILITY DIST 1 SNO C <br />1802 75TH ST SW 2320 CALIFORNIA <br />EVERETf Wq 98203 EVERETT WA 98201 <br />PHONE: 4257834303 PHONt: <br />TAX PARCEL ID # 2805"v500204500 SITE ADDRESS: 2221 LOWELL RD <br />DESCRIPTION OF PROPOSED WORK: <br />SITEWORK - SNOHOMISH PUD <br />TEMP EROSION CONTROL, GRr�DING & DRAINAGE <br />3121/2013 <br />PW1303-008 <br />S 75.00 <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 Specifcations. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 r- <br />4. Per approved plan. <br />Your Pubiic Work, Inspector is Randy Allen. Call him at 425-339 403 for questions and inspections <br />ro Posr�►ur; �� �� � �3 <br />�—��rJ <br />Date <br />as Constructed <br />� SU��'� <br />MAR 2 2 Z��3 <br />Cl'C�YrU�., ScrI=,RL'C.�. <br />Bi�i -+�, �n� Pi,tiD <br />� <br />H <br />� <br />C/] <br />� <br />� <br />h <br />z <br />0 <br />� <br />O <br />W <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 tor <br />damages, costs, expenses, or causes of acfion that may arise <br />because ot installation and maintenance of the improvement <br />or olher righ4o(-way use h�:reto applied for and further agrees <br />to remove same upon notice trom the City and to replar,e <br />publi prei perjy-da age t reby. <br />1 � <br />I <br />�---' / � 2 Z,! I J <br />=r— <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMR MUST BE 5TARTED WRH1�J 180 DAYS OF DATE PERMIT IS ISSUED A�JD THEREAFTER IS TO BE DILIGEMLY <br />PURSUED TO COMPLEfION. THIS PERMff MAY BE CANCELLED BY THE CIIY UPON ANY STOPPAGE OF WORK ON THIS PROIECi OVER 90 DAYS DURATION. <br />