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PUBLIC WOR1(S PERh9iT Date: 4/18�2013 <br /> Public Works Permit#: PW1304-016 <br /> l.ity of Everett Pablic Works Department <br /> 32CD Cedar Street Buildinp Permit#; <br /> • � Everett WA 98201 Planning Reference# <br /> (425) 257-6810 <br /> pi�hlic Works Fee S: 5 4G.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HERZOG PAMELA <br /> 1802 HOYT AVE <br /> EVERETT WA 98201 <br /> PHONE: 4253303987 PHONE: <br /> TAX PARCEL ID# 00438037003100 SITE ADDRESS: 1802 HOYT AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> 6' FEPJCE TO ENCLOSE BACK YARD IN ROW <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2 All work snall be performed in accordance with the permit and current City of Everett Design and Construc.tion Standards <br /> and Specifications. ` <br /> 3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. The fence would be removed at the owners expense in the event the city widens or does construction in the rigM r, <br /> �;� <br /> of way. � �- ;, G� <br /> 5 Look at lhe approved drawing or sketch for fence height conditions. - , � E,,,� <br /> 6 Coniact C�tv o(Everett Inspector Randy Allen at 425-257-7268 prior to starting construction - �„r <br /> C/� <br /> � <br /> � <br /> ; � <br /> � <br /> ;� � <br /> - _. r`-_7 , �.:�:�_' �'. O <br /> a <br /> ACKPJOWLEDGEh1ENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless +he City of Everetl from any and all claims for <br /> damages,costs,expenses,or causes of action thal may arise <br /> because of installation and maintenance of the improvement <br /> "' � / �ZI _ or other right-o+-way use here�o applied for and further agrees <br /> � — to remove same upon notice from the Ciry and to replace <br /> Appr ed r nst C i Date public property damaged thereby. <br /> c,�,� ��,� `�' — 7—�j �. I I� nr1 1 <br /> FINAL INSP_ TION Jate (�� ( !P. �C� I-V`� I)� rn �1 � J <br /> Approved as Constructed Signa ure of Applicant DU�r �J I\(Sn�a�e r S�Q <br /> \tORK AUTHDRREU 6Y THIS PERMR MUST BE STARTED 1VITHIN 180 DAYS OF DATE PERPiTT IS 1'iSUED AND THEREAFfER IS TO BF DILIGE��LY <br /> f'URSUi.G 10 CO'�1PLEI ION. THL PERMT P1AY�[UNCGI LED�Y THf C1TY U"ON ANY STOPPAGEi OF\VORK ON THIS FROJ[CT OVER 90 DAYS DU TION. <br /> � I C� / J <br /> ����(I,I C�(I-', J � I] <br />