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4710 GARDNER AVE 2018-05-16
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4710 GARDNER AVE 2018-05-16
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Last modified
5/16/2018 2:43:27 PM
Creation date
5/16/2018 2:43:24 PM
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Address Document
Street Name
GARDNER AVE
Street Number
4710
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� [��fie: 0�117/�U13 <br /> ����."��i W�RK� p����� Public Works Permit#: PW1306-018 <br /> City of Everett Public Works Department <br /> -,i;,-��,�-1�.� 320Q Cedar Street Building Permit#; C1303-007 <br /> �'��'"��``s���' Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Pubdic Works Fee $: $ 25.00 <br /> Q#f��r� �: <br /> �OWiV�Ft NAME AN[�ADDRESS: APPLICANT P1AME l�ND ADDRESS: <br /> JORGENSEN TRAVIS & DEONNA JORGENSEN TRAVIS & DEONNA <br /> 4710 GARDNER AVE 4710 GARDNER AVE <br /> EVERETT �/�/q 98203 EVERETT Wq �J8203 <br /> PHONE: 2063079531 PHONE: 2063079531 <br /> TAX PARCEL ID# 00417400003100 SITE ADDRESS: 4710 GARDNER AVE <br /> TREE REMOVAL W/ EQUIPMENT <br /> (6/18/2013 10:54 AM BES) <br /> T��F_ REMOVA�W/ EQIJIf'MENT <br /> P�RMIT CQNQI�'I�NS <br /> 1. All calls for inspection shall be made 2G hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of�verett Qesign and Construction Standards <br /> and S�ecifications. <br /> 3. Call Locatian Underground Service 48 hrs before you dig. TOLL FREE NUMBER 8111 <br /> 4. NO DIRT, MUD, ROCKS OR DEBRIS TO BE TRACKED ONTO ROADWAY. <br /> 5. REMOVE TREES(2) WITH MACHINE AS SHOWN ON THE SKETCH. <br /> 6. CON7ACT CITY INSPECTOR RANDY ALLEN 425-339-7403 PRIOR TO STARTING � <br /> THE JOB. � <br /> � <br /> � <br /> 0 <br /> �"J <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hc�reby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 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 propeRy <br /> darnaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITtiIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY t3E CANCELLED BY THE C1TY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />
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