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PUBLIC WORKS PERMIT <br />Cit, of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />ANDERSON RICK & HOLLY <br />4704 HARBOR LN <br />EVERETT WA 98203 <br />PHONE: 4252650848 <br />Date: 10/1412009 <br />Public Works Permit #: PW0910-011 <br />Buildinq Permit #: <br />Planninq Reference #: <br />Public Works Fee $: $ 50.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />OWNEK <br />PHONE: <br />JTAX PARCEL ID # 00417100000802 1 SITE ADDRESS: 4704 HARBOR LN <br />DESCRIPTION OF PROPOSED WORK: <br />TEMPORARY EROSION CONTROL <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. Work to be done as indicated in the Nelson Geotechnical memorandum dated Oct. 6, 2009 <br />5. Considerations should be made for covering the entire scarp area with the erosion control matting if the applignt C) <br />is able to acquire permission from the adjoining property owner. r <br />Call Public Works inspector Randy Allen at 425-339-7403 with questions and for inspections R, u5 <br />1 �+ <br />Appndrnsly�o Date <br />FINAL INSPE ION Date <br />Approved as onstructed <br />6R <br />0 <br />SOS c� <br />—� r• <br />r <br />t- <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 for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />is is o <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />