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PUBLIC WORKS Date 5/25/2000/ <br /> Pubiic Works Permit a PW0005-027 € <br /> P E RM i T Building Permit M <br /> PUBLIC WORKS DEPARTMENT Planning Reterence a <br /> 3200 Cedar Slreet <br /> Everetl.WA 98201 Public Works Fee S $ 50. 00 <br />� (425)257-8810 Guarantee$ <br /> r <br /> OWNER NAME Harchenko Theodore & Shir 't1iDLA ORENSME same <br /> ANDAODRESS: r <br /> 3823 KROMER AVE <br /> EVERETT WA 4S?01 <br /> PHONE: PHnNE: <br /> TAXPARCELI.D.0 PROJECTADDRES�': S031S 5th Place w <br /> DESCRIPTIONOF Clear scrub alder & blackberry v!.nes US-:'S-00 ^_:34FPf <br /> FROPOSED WORK: �I ��OOSO�� � � <br /> OTH�n 50.Q0 t <br /> TOTAL 50.00 <br /> Ct-�t=f : SO,UO <br /> _ t <br /> A OM7h48 r <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phone (425)257•8810 <br /> 2. All work shall be performed in accordance with ihis permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-024-5555 <br /> 4 . Call public works inspector Kieth Alewine @ 339-7404 to achedule a W <br /> pre-construction conference prior to beginning any work on the site. � <br /> 5 . Install a silt fence per city standard �205(A or B) at the clearing ^ <br /> limits. v� <br /> � 6. Clearing must be done in a manner that will tiot adversely impact the M <br /> adjacent properties. Y.1 <br /> 7 . Keep city streets clean at all times - no vehicle track-out will be O <br /> allowed. .' <br /> , Z <br /> � <br /> �,^ <br /> V+ <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �� G � The undersigned ownerfapplicant hereby agrees to hold and <br /> 5 2 5 Q� save harmless the Ciry of Everett from any and all claims lor <br /> npproved lor Co uc�ion Date damages,cosls,e:penses,or causes of action ihat may arise <br /> c <br /> because of installation and maintenance ol the improvement or <br /> Z • // � �`, � � other righ4of-way uso hereto applied tor and fuNier agrees to <br /> /J K � remove same upon notice from the C�i i nd to rep�ace public <br /> FINAL INSPECTION prope mageA thereby. � /r� O�J aCQCJ�° <br /> Approvetl as Constmcle0 Dale �� <br /> }[.)Q <br /> Signature ol Applkam Date <br /> WORK AUTHORIZED BY TNIS PERMIT MUST BE STARTF.D WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENT�Y PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE C�TV UPON ANY STOPPAGE OF WORK ON 7HIS PR0.IECT OVER 90 DAYS DURATION. <br />