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<br /> PdJBI''_I�: WORKS �ERt611�T Uate 2/5/2010 :�;
<br /> � Public Works Permit # PW1002-005 ^•
<br /> City of 5�.�rett Public Works Depariment �'°"„ry
<br /> ,f'. � � ,� ,.T 32U0 Cedar Street Buildinq Permit #: is�,
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<br /> Everett, V'JA 98201 Planninq Reference #: ` '
<br /> �425) 257-8810
<br /> Public Wcrk� Fee $ � O 00 �'��'-
<br /> Other 5: � r-'
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<br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: Is�,��
<br /> HOECH NEAL OWNER �g°'
<br /> 9232 HOLLY DR � '''�"
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<br /> EVERETT WA 58204 '
<br /> PHONE: 2062631745 PHONE: ' _
<br /> TAX PARCEL ID tt 00•�80200100700 SITE ADDRESS: 9232 HOLLY DR ,,`--^"...
<br /> DESCRIPTION OF PRJPOSED WORK:
<br /> 60 YARD FILL ;.j-'�:
<br /> PERMIT CONDITIONS
<br /> 1 All calls for inspection shall be made 24 hours m advance
<br /> 2 All viork shall be per(ormed m accordance with the permil and current City of Everett Design and ConsVuclion Standards
<br /> and Specii�cations
<br /> 3 Call Location Underyround Service 48 hrs be(ore you dig TOLL FRFE NUMBER 811
<br /> 4. Ownedapphcant hereby grants permission to tr�e City of Everett ana its designee to use the road easements
<br /> recorded under Snohomish County Auditor File No.'s 7705260291. 7705260292 & 7705260293 for lhe purpose of
<br /> hauling and depositing excavated material resulting from the City's improvement of the owner's street(ronta9e and �
<br /> dnveway's located at 9232, 9304 8 9308 Holly Dnve and acknowledges Ihat said malerial is being �auled �nd �
<br /> deposited at the requesl and direction of the ownedapplicanL �
<br /> 5 No turn around is available in the fill location for large trucks. Therefore, truck traffic will have to tum around on �
<br /> 4th Ave and back in to fll site. Consequently iraffic control wdl be needed for this maneuver. O
<br /> 6 Keep City sireets clean at all t�mes
<br /> 7 Provide any erosion control as directed �
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<br /> � J \�.�5 MAR 1 g 2010 p�„ ;'
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<br /> C1�1'Y Of' EVLRE'T"1' ���;��`��
<br /> Permit Scrvices �' '
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<br /> ACKNOWLEDGEMENT OF CONDITIONS � � ���.''.
<br /> The undersigned ownedapp6cant hereby agrees to hold and ��!j�f��_
<br /> save harmless the City o(Everett from any and all c!aims for i ."!.'!
<br /> damages, cosls, expenses,or causes ol aclion that may anse ;r:,;.;.,
<br /> ��_ /�/F� , � � / because o(instal�ation and maintenance of Ihe�mprovemenl
<br /> � ��,�j� C or other righbol-way use herelo applied for and lunher agrees
<br /> to remove same upon nmice trom ihe City and lo repiace
<br /> Approv d for Construc6on Date public propeny emaged�hereby. : �,.
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<br /> FINAL INSPECTION Uate 3 ���G ! '
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<br /> Approved as Constructed Signature ot Appiicant Date �.'��';�;�;
<br /> WORK AUTHORIZED BY THI$PEHh1R MUST BE STARTEO WITHIN I60 DAYS OF DATE PERM[T IS ISSUED AND TriERFf�FTER IS TO OE DILIGEtJTLY ' �� �
<br /> PU0.5UED TO COMPLE710Y. THIS P[Rh1�T PiAY BE CANCELIED 67'1�HE CITY UPON ANY STOPPAGE Of WORK OY THIS PROJE�OVER 90 DAYS DURATION. �' �,� -.
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