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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />,�, 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />Buildinp Permit #; <br />Ptanning Reference #: <br />8/16/2012 <br />PW1208-007 <br />Public VJorks Fee $: $ 200.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APFl.ICANT NAME AND ADDRESS: <br />POSNER TERRY SHOCKEY PLANNING GROUP <br />1727 POPLAR PL S 2716 COLBY AVE <br />SEATTLE Wq 98144 EVERETT WA 98201 <br />PHONE: 2062925033 PHONE: 4252589308 <br />TAX PARCEL ID # 28050500101100 SITE ADDRESS: 573� S 2ND AVE <br />DESCRIPTION OF PROPOSED WORK: <br />REMOVAL OF VEGETATIVE DEBRIS IN WETLAND <br />CONSISTS OF STICKS, TWIGS, LEAVES, ROOTS 8 LOOSE COMPOST <br />PERMIT CONDITIONS <br />1. All calls �or inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current Ciry 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. Per attached plan. <br />Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections. <br />H <br />�+ <br />� <br />� <br />� <br />h <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrees lo hold and <br />save harmless the City oi Everett from any and all claims for <br />damages, cosls, ezpenses, or causes of action that may arise <br />because oFinstallation and maintenance of lhe improvement <br />or other right-of•wey use hereto applied for and turther agrees <br />lo remove same u on notice trom the Ciry and to replace <br />publ' prape d ag thereby. <br />9-�0- � Z <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE SiARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAF7ER IS TO BE 6113GENTLY <br />PURSUED TO COMPLERON. THIS PERMIT MAY BE CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />