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PUBLIC WORKS PERMIT <br />City of Cverett PubGc Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />CORNERSTONE HOMES <br />PO BOX 14424 <br />MILL CREEK WA 98082 <br />PHONE: <br />'AX PARCEL ID M <br />DESCRIPTION OF PROPOSED WORK: <br />GRUI3 OUT BLACI:BERRIES 8 CUT <br />APPROXIMATELY 6 COTTOIJWOOD 8 WILLOWS <br />Date: 8/10/2010 <br />Public Works Permit #: PW1008-015 <br />Buildinq Permit #; <br />Planninp Reference #: <br />Public Works Fee $: $ 50.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />BRUCE CRAWFORD <br />PO 80X 1830 <br />M�4RYSVILLE WA <br />PHONE: 4255083320 <br />98270 <br />'uITE ADDRESS: 181 I 105TH ST SE <br />P[RMIT CONDITIONS <br />1 All calls lor inspection shall be made 24 hours in advance <br />2 All wurk shall be periormed in accordance with the permit and current Cdy of [verett Design and Construction Standards <br />and Specdicalions <br />3 Call Locauon Underground Service A8 hrs before you dig TOLI FREE NUMBER 811 �- <br />4 Keep City Street clean at all hmes <br />5. I( sde is "grubbed" and 6-8 slumps are removed, then exposed soil must be mulched or have erosion control <br />installed as direcled by the Public Warks Inspector <br />6 As an a!!�rnatrve the site can be mowed to ground level <br />FOR PUBLIC WORKS INSP[C110N5 CAI L('IJFf I_INDMAN /-T 426-339-7404 <br />W <br />E"' <br />wr <br />� <br />m <br />� <br />� <br />z <br />0 <br />� <br />� <br />0 <br />a <br />ACK�'O`P!I f DGfMF�.NT OF CONDITIONS <br />I he undersigned owneilapphrant hyreby ayrees lo hold and <br />_.. _____ _____ ._ .._ -- save harmless the City o1 Everetl lrom nny and all cleims loi <br />.. � damages. costs, expenses. or causes of ectien Ihel may �rise <br />� beceuse ul installalion end maintenance of Ihe improvement <br />,. „ �, �,��.� �—/dj —�r or olher nghl-of-way use hereto applied lor and lurther agrees <br />A� ro ed (or Construction DBtB lo rr.move same upon no�ice Irom Ihe City and to replace <br />{ p publi 'property dam�ge Ihereby <br />�%✓�%�/ � `-� _- . <br />�l SPECTION Date . Cl/d A -I �' t�U�D <br />Approved as Constructed �"`� Sig ure o1 Apphcanl Date <br />1';t �ItF Ai!II1��I+!(f I� Pl' IHIS I`! H�91T h1U5T AF S1ARTfD l"JITI11ti IPO DA1 ; OI [7ATf ^1R IS ISSUEO AND THERGAFTER IS TO BF DII.IGENTLY <br />PI IRtiUI P I n � �"�IPt � I I� �'! I iilS 19 RI11 I PIAY lif CANt.t I I t D 11v IHf CI IY UPUN ANY 5�0(�PAGF Of VlORK ON THIS PHOJECT OVFR 90 DAVS DURAlION. <br />