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/ Date: 911712012 <br /> PUB61C WORKS PERMIT publicWorksPermil#: PW'zos-o�s <br /> City of Evarett Public Works DepaAmenl Building Pe�mit#; C1209-007 <br /> 3200 Cedar Street <br /> � ��r Everett,WA 98201 Planning Reference#: <br /> (425)257-88t0 public Works Fee$: $ 70.00 <br /> Other $: <br /> APPLICANT NAME AND ADDRESS: <br /> OWNER NAME AND ADDRESS: <br /> PRESHAW LAWRFNCE <br /> 3515 SHORE AVE <br /> cVERETT WA 98203 <br /> PHONE: <br /> PHONE: 4253471081 <br /> TAX PARCEL ID tl 00433600000300 SITE ADDRESS: 3515 SHORE AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> FILL IN POOL <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City ot Everetl Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 9 � � _ <br /> 4. This permit covers only the earlh work necessary to remove and (ill in the swimming pool. No olher gradin 3' �, � <br /> �— W <br /> grubbing, clearirig or lerracing of the lol is permitted at lhis time. n-• c,}, V$,f „ -- ,-• ,, '' <br /> ;�- �.+ :T� ri�ir � _ <br /> 5. Maintain exisling vegilation al the lop of slope lo lhe maximum extenl pract�l. li��lall�dditibn�;@39��bn contfol � <br /> BMP's as directed by lhe Pubiic Works inspeclor in lhe field. � � T � '_, T <br /> -.-.] !T��� � <br /> 6.Your F�blic Works Inspector is Randy Allen. Please cail him at 425-339-J�03 prior lo beginni��work. J , : O <br /> ' ? ►'� <br /> , ;, <br /> , _ �� z <br /> �J 'S O <br /> i_�' .'�q�o:=+�F��r�`_'i r [� <br /> ��:- _� � • _ - �v. C�-/�' <br /> �=�-''. `.�•= "i.�rJ=i�`_ (:+1�-T� ���� � VI <br /> ��, : 0�y <br /> i_. �. � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless lhe City ot Everett from any and all daims for <br /> � damages, cosls,expeases,or causes of aclion Ihat may anse <br /> because ot inslallation and maintenance of the improvemenl <br /> ��1� �/ � �/'p�/�� or olher right-oFway use herelo applied for and further agrees <br /> l v/ to remove same upon nolice from the City and to replace <br /> A r or Constru i0n s ate public propeRy damaged thereby. <br /> �� � , ��� � �-�,y^ 13 1 �.,� ,o,�� i� Z <br /> FINAL INSPE -ION Dale Dale <br /> Approved as Conslructed Signature oi Applicant <br /> WORK AUTHORIZED BY THIS P[RMIT MUST 6E STARIED WIiH1N 180 DAYS Of DATE PERMIT IS[SSUED AND THEREAFfER IS TO BE DILiGENTLY <br /> MIRSUED TO COMPL[TION. lNiS PERMIT MAY BE CANCELLED BY TNE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />