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PUBLIC WORKS Date 09/14/2004 <br />Public Works Permit a PN0409-009 <br />PERMIT <br />Building Permit a <br />PUBLIC WORKS DEPARTMENT Planning Reference a <br />*$:77- 3200 Cedar Street <br />Everett, WA 98201 Public Works Fee S <br />(425) 257-8810 <br />Guarantee $ <br />OWNER NArAE SHLBIN ANL)REY APPLICANT NAME <br />AND ADDRESS: AND ADDRESS: OWNER <br />1919 HOLLOW GALE PL <br />EVERETT WA 98208 <br />PHONE: 4253873073 PHONE: Q `/D -0 <br />TAX PARCEL I D.0 00537900001901 PROJECT ADDRESS , 'f <br />1 L HOLLOW GAT.G Pi. <br />DESCRIPTIONOF FILL FOR LANDSCAPING <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance -phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Install silt fence where shown. <br />5. Provide traffic control: truck turning sign, construction sign-, etc. <br />6. Keep street clean at all times. <br />7. 499 cy maximum allowed. <br />B. Aydroseed or seed 6 straw - especially at ditch at front of property and along side <br />creek buffer. <br />ApprduEd for Construction Daft <br />N���i �Fiai/T iss</�v it z9-a <br />Pi�✓oS7/- 093 — iva�r,� To or1� <br />Approved as �0n/st��Gte/df yi'j�lal <br />%!r'^'//� `✓ma's ..��'s'-�----�� , <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownertapplicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />�J/11%15 f<'>Tfj'I'emovo same upon notice from the City and to reply ublic <br />property dam thdt y. <br />Si of Appl Date <br />I <br />7 <br />Z <br />LO <br />ffrA <br />v/ <br />O <br />a <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. L( 1 <br />zJ <br />