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� � �� PUBLIC WORKS PERMIT Date: 8/19/2011 . • <br /> `��� City of Everett Public Works Department Public Works Permit#: PW1108-022 <br /> � 3200 Cedar Street Building Permit#; <br /> `� Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HEITMAN, CATHERINE HEITMAN PHIL <br /> 1712 EDGEMOON LN <br /> EVERETT Wq 98203 <br /> PHONE: 4253483674 PHONE: 5093223879 <br /> TAX PARCEL ID# 00733800003700 SITE ADDRESS: 1712 EDGEMOOR LN <br /> DESCRIPTION OF PROPOSED WORK: <br /> REMOVE 200YDS CLAY WASTE <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 <br /> 4. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to begin�g � 'w <br /> the project. CALL RANDY ALLEN AT 425-339-7403 `�` w.� !�`� <br /> 5. No dirt, mud, rocks or debris to be tracked onto roadway. �°°�,���; �� p � <br /> 6. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean a�Cl op�n fo�t � <br /> pedestrian travel. �� � � ~` <br /> 7. Residential aidwalk drain required per COE Detail#319 (attached) r�' � <br /> s_.a <br /> .�'�..7 .�'«�7 <br /> 1^••:} G'7 '1�O <br /> r'` 'a M'�1. <br /> � <br /> � <br /> � ..� <br /> �'� -,� <br /> �a � <br /> tl����n <br /> �:a���.a __ =.�� <br /> G�] ...-. �:....1 <br /> C7�"{ <br /> --{i'.-7 'rl <br /> � �r�('•.:.Y <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 /> C°�► �,���� or other right-of-way use hereto ap 'ed for and further agrees <br /> A roved for ConstruCtion Date to remove same u tice the City and to replace <br /> Pp public prope a a y. <br /> FINAL INSPECTION Date ��� �df <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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />