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,; .,,_:, r <br />�� .,.. . <br />�'lJ6LIC WOFtKS PERMIT <br />City of Everett Public Works Depariment <br />3200 CCdar Street 4�,-fi3-��fj1QrTl+iji <br />EveretT�,NlA 98201 (�l,- <br />�425) 257-8810 <br />�["r17 i����.lipj'�QQ; <br />Date: 6/3/2010 <br />Public Works Permit # PW 1006-003 <br />;4:L:� Buildinq Permit#. <br />����'Ja�hninp Reference # <br />�I 1_ <br />Pubhc Works Fee $ S 25 00 <br />Other 5 <br />L � IfIC, ��.l.ou <br />OWNER NAME AND ADDRESS: j� l�FP J1CAN3 NAME AND ADDRESS: <br />BEAN GARY �f�FLh', OWNEEZ.:�'1 <br />9212 18TH AVE W <br />EVERETT WA 98204 <br />PHONE: 4253403161 PHONE: <br />TAX PARCEL ID q 01079900000400 SI7E ADDRESS: 9212 18TH AVE W <br />DESCRIPTION OF PROPOSED WORH: <br />REL10`JE i0 SMALL TREES NEXT TO HOUSE <br />PERMIT CONDITIONS <br />1 All cails (or inspection shall be made 24 hours m advance <br />2 hll wcrk shall be performed m accordance wlth the permit and curren; City of Everett Design and Construct�on <br />and Specificauons <br />3 Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br />4 Trees wdl be dropped and cut for firewood <br />5 No brush removal that will expose earth or dragging of irees <br />6 Leave stumps in place <br />7 This tree removal to be done (or trees approximately 25' from house <br />Fcr InspecGors call C!�ff Lindms� at 425-339-7»04 <br />Standards <br />r�/�'2K ����1�" ;�r� S�IS�c-7�i� <br />�,,�a � n/S��7T�� <br />,���-��� <br />P.CKNOWLGDGGMENI OF CONDI710NS <br />The undersigned owner/apphcant hereby agrees to hold and <br />save harmless the City of Everetl from any and all cla,ms fr <br />damages, costs, expenses. or causes of aclwn that may .,ns� <br />because ol installation and mainlenance ot ihe improvemen; <br />or othcr righhof -way use hereto applied for and turther agrees <br />lo remove same upon noLce from ihe City and to replace <br />pubhc property damaged thereby. <br />, � � <br />, <br />Sign re 1r� canl Date <br />� ��� ��� � -3��� <br />Ap roved for Construction Date l`n <br />� 1;- � � <br />P ,�,-.r�__�� � <br />FINAL I SPECTION Date <br />Approved as Constructed <br />� ' <br />\';ORN AUTHOR17E0 EY THIS PFRF117 1•1USi BE START[D 1'/fT'il�J !AO DAYS OF DATE PERMIT IS ISSJED AND iHER[AFTER IS TO BE DIL1G[P�TLY <br />PURSUED TO COMPLFTION. 1N15 �ERF11T `1AY EF UNCELLED 8Y THE C[TY UPO'� A^JV STOPVAGE OF'::ORK CN THIS PRp;ECI OVCR 9C DAYS DUHATIO�J. <br />