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PUBLIC WORKS PERMIT Date: 11/17/2011 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1111-017 <br /> , � 3200 Cedar Street Building Permit#; C1110-003 <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 45.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NORTHWEST EVERGREEN <br /> ffljWZWRN SAMMAMISH PKWY / <br /> WLEVUE WA 98008 / <br /> PHONE: 2065792636 PHONE: <br /> TAX PARCEL ID# 00439162600100 SITE ADDRESS: 27 WETMORE AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONVERT OFFICE TO APTS <br /> EVERETT AVE: 4 MAPLE TREES ON 5' GRASSY STRIP <br /> WETMORE AVE: 3 36" PLANTERS-SEE ATTACHED PLAN <br /> I I / <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 an current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you di . TOLL FREE NUMBER 811 <br /> 4. PLANT TREES PER CITY OF EVERETT STANDARD 333A. <br /> 5.CALL INSPECTOR RANDY ALLEN 425-339-7403 P OR <br /> TO STARTING WORK. W <br /> IJ � <br /> C <br /> i� <br /> 0 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant 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 /> 40 or otherright-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> pproved for Construction Date public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <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 />