12306 19TH AVE SE 2018-01-02 MF Import

PUPLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street 4Z7T Everett, WA 98201 (425) 257-8810 OWNER NAME AND ADDRESS: Agnetha Johansen 2802 Ruggs LK RD EVERETT WA 982 PHONE: ( 425) 337-"6661 TAX PARCEL I.D. # Public Works Fee $ $ 50.00 Guarantee $ BN APPLICANT NAME AND ADDRESS: Agnetha Johansen 2802 Ruggs.LK RD EVERETT WA 9 PHONE: ( 425) 337-6661 PROJECT ADDRESS: 12306 19th Ave SE DESCRIPTION OF Fall and Remove Trees PROPOSED WORK: PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 W 4. No work is to be done in the enviromentaly sensitive areas. 5. Keep city streets clean at all times. 6. Trees marked as snags will be cut 20 ft. above the ground and left FA standing. 7. Work shall be done as shown on the attached sketch. S. Provide any erasion control as directed by the Public Works inspector. O i 7i� fh fie._ Well44d _4W-4- 05 1--00 9.09AM Z 020 O OTHER 50.00 TOTAL. 50.00 3'1 O!"i S .Y.G7.t O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for Apptfjed for Construction ate damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public FINAL INSPECTION prope damaged thereby. Approved as Constructed Date Sig ature o A pli nt Date �+ WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. Es