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PUBLIC WORKS PERMIT <br />City of Everett Public Works Deoartmerlt <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 10/14/2009 <br />Public Works Permit #: PWO910-011 <br />Buildinq Permit #: <br />Planninq Reference #: <br />Public Works Fee $: $ 50.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />ANDERSON RICK & HOLLY <br />OWNER <br />4704 HARBOR LN <br />EVERETT WA 98203 <br />PHONE: 4252650848 <br />PHONE: <br />TAX PARCEL ID # 00417100000802 <br />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 F- <br />4. Work to be done as indicated in the Nelson Geotechn?cal memorandum dated Oct. 6, 2009 <br />5. Considerations should be mace for covering the entir•� ,carp area with the erosion control matting if the applicant <br />is able to acquire permission from the adjoining property owner. <br />Call Public Works inspector Randy Allen at 425-339-7403 with questions and for inspections <br />NELSON GEOTECHNICAL <br />NGA ASSOCIATES, INC. <br />GEOTECHNICAL ENGINEERS & GEOLOGISTS <br />Bala A. Dodoye-Alali <br />Project Geolog-st <br />17311-135th Ave. NE, A-500 Snohomish County (425) 337-1669 <br />Woodinville. WA 98072 Central Washington (509) 665-7696 <br />(425) 486-1669 Phone baladenelsongeotech.com <br />(425)481-2510 Fax www.nelsongeotech.eom <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />rr <br />h <br />C <br />F <br />C^ <br />F6 <br />ALnlvuvvLtuutmtlQT OF CONDITIONS <br />The undersigned ownerlapplicant 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 />Signature of Applicant <br />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 />