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PUBLIC WWF O RKS PERMIT Date: 8/22/2016 <br /> Public Works Permit#. PW1608-042 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> VANESSA LEWIS VANESSA LEWIS <br /> P.O.BOX 12717 SAME <br /> EVERETT WA 98206 <br /> PHONE: 4253302453 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 3333 NASSAU ST <br /> CLEAR BLACK BERRIES AND DO SOIL TESTING <br /> (8/22/2016 2:07 PM BES) <br /> CLEAR BLACK BERRY BUSHES, DO NOT CUT TREES INSIDE CRITICAL AREAS. TO DO SOIL TESTINGS. <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 m rl <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works r- � r-, <br /> Department dated 08/26/2016. :0�-�!E__o W <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 priorr _M ;= <br /> to starting construction and with other inspection requests. �= ' <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and co I""I <br /> remove upon completion of the project prior to final approval of the permit. K'.)) <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> 8. Do not cut trees in the critical ares. 0 <br /> Lei <br /> Public Works Permit Fee Breakdown: a 51 KS <br /> Misc. Minor Permits And/Or Plan Reviews..$25.00 `�'' ��`�' <br /> cy c> >c : O <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 6 causes of action that may arise because of installation and maintenance of the <br /> impoeofApplicant <br /> n -of-way use hereto applied for and further agrees to <br /> *pove7for Daremde from the City and to replace public property <br /> dam <br /> FINAL INSPECTION Date <br /> Approved as Constructed SigDate <br /> i <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 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 />