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PUBLIC WtORK&PE'RMi Date <br />I 0,37P�ublic Works Permit #: <br />City of Everett�ublic Works Department <br />320,0.C,epar S(reet. CT 1 Building Permit #, <br />C r y Evere�t� WAr �8 lI i , <br />(eVe 257-8810 Planning Reference #. <br />1 OTHER Public Works Fee $: <br />1 $25. as n,in-, e. <br />OWNER NAME AND ADDRESS: <br />JONATHAN WAHL <br />11014 7TH AVE SE <br />EVERETT WA 98208 <br />PHONE: 3609132391 <br />APPLICANT NAME AND ADDRESS: <br />OWNER <br />PHONE: <br />11/4/2011 <br />PW1111-006 <br />$ 25.00 <br />TAX PARCEL ID # SITE ADDRESS: 11014 7TH AVENUE SE <br />DESCRIPTION OF PROPOSED WORK: <br />REMOVING INVASIVE, AND SOIL ul BOUNDARY <br />AREA- MINOR GRADING OUTSIDE OF AREA- REPLANT 3 CEDAR TREES <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 <br />4 FINAL APPROVAL IS DONE AFTER ALL PLANNING REQUIREMENTS ARE MET <br />Q <br />Z -co f l LP <br />N/I6/�// <br />for <br />'ECTION Date <br />as Constructed <br />ACKNOWLEDGEMENT 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 ame upon notice from the City and to replace <br />public pr perty damaged thereby. <br />i��t, <br />Sieature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 190 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 />