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PUBLIC WORKS PERMIT Date: 11/19/2013 <br /> Public Works Permit#: PW1311-011 <br /> 'a City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 75.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> VALENTIN GUTIERREZ OWNER <br /> 5821 BROADWAY <br /> EVERETT WA 98203 <br /> PHONE: 2062932884 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 5821 BROADWAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> APPROX 40 CY FILL IN BACKYARD <br /> LOT 1 COE SP#1202-6-88 <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 _r, <br /> 4. As per approved plan dated 11-19-2013 and as directed by the Public Works inspector in the field. <br /> 5. Fill must be removed from contact with the fence at the east end of the property. —� w <br /> 6. Side slopes of the fill shall not exceed 2H:1 V and must be dressed back to accomplish this. ; s <br /> 7. All exposed earth shall be stabilized from erosion immediately. <br /> 8. No dirt shall be allowed to erode onto the paved areas and paved areas shall be kept clean of dirt and dbbrii,-- <br /> Your inspector is Randy Allen. He may be reached at 425-339-7404 for inspections and/or consultation. I,; <br /> O <br /> < <br /> �h® �F t4?h • <br /> C:7 I'A' <br /> 'fy <br /> I� <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 /> l3 or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approve or C n Datk public property damaged thereby. <br /> FINAL INSP CTION Date vim\C\-,- w\ 1(//Y//-3 <br /> Approve 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 />