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PUBLIC vvORKS PERMIT Date: 5/3/2016 <br /> }Ju <br /> City of Everett Public Works Department Public Works Permit#: PW1605-007 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WRIGHT SANFORD WRIGHT SANFORD <br /> 2320 RUCKER 2320 RUCKER <br /> EVERETT WA 98201 EVERETT WA 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00548500000400 SITE ADDRESS: 812 35TH ST <br /> REMOVAL OF YARD WASTE DEBRIS PILE FROM GULLY BANK <br /> & HYDRO-SEEDING OF ANY AREAS DISTURBED OR DEVOID OF VEGETATION. <br /> PROSPECT HEIGHTS ADD TO <br /> EVERETT RPLT BLK 000 D-00 - LOTS <br /> 4, 5, &6 TGW THAT PTN VAC ALLEY <br /> LY <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 1:.9 --iiq <br /> 7.3 <br /> 4. Work to be done per Gully Bank Stability Evaluation approved by the City of Everett <br /> Public Works Department dated 5/3/2016. F 2 7 <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior Y m h' W <br /> to starting work and with other inspection requests. .07). <br /> 6. Install erosion control measures as directed by the Public Works Inspector, ifr Alp <br /> required, and remove upon completion of the project prior to final approval of the permit. ' r_73`T' <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto - <br /> roadway. O <br /> 8. Protect all existing underground utilities during work. lut, <br /> LT1 r-i <br /> Public Works Permit Fee Breakdown: •z'° "F 'r. <br /> Misc. Minor Permits (Drainage Work) $25.00a <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 1_ <br /> Cip <br /> O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> jah ' <br /> ��,/� City of Everett from any and all claims for damages, costs,expenses,or <br /> /� or <br /> r/E,t ole <br /> /m <br /> .3 . causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> da ged - eby. <br /> FINAL INSPECTION Date Z161 <br /> Approved as Constructed atur of App iicant 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 />