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PUBLICIORKS PERMIT Date Applied: 10/16/2017 <br /> ,411P-4444.y.m/ma City of Everett Permit Services Public Works Permit#: PW1710-025 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $25.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME gib AgUEs2s . <br /> BARTON KELVIN/PATTI BARTON KELVIN/ PATTI <br /> 7691 FRANCIS LANE 7691 FRANCIS LANE <br /> BLAINE, WA, 98230 BLAINE, WA, 98230 <br /> PHONE: 3609271112 PHONE: 3609271112 <br /> TAX PARCEL ID#: 00606400005300 SITE ADDRESS: 415 OLYMPIC BLVD <br /> DESCRIPTION: Restoration of a disturbed stream buffer area <br /> Modified Permit Application on 9/20/2018: <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> The Bartons will apply topsoil and native plant seed to the gravel area in the disturbed stream buffer area. The topsoil shall <br /> be of such quality to allow the seed to sprout and take root. <br /> A final inspection is required to show that the work has been completed in conformance with the Permit and tt the std <br /> has begun to sprout and take root. Contact Teresa Weldon at 425-257-8731 or email at tweldon@everettwa.pv to° <br /> schedule the inspection. Reference permit number PW1710-025. � L' <br /> ar— <br /> m <br /> Es) <br /> c r_. <br /> ;n "rte' rp <br /> Cr) <br /> � r•a <br /> Public Works Permit Fee Breakdown: c!•, <br /> Misc. Minor Permits $25.00 , <br /> r, <br /> LT <br /> •tt3•® •fit .... <br /> P•.7 r+7 <br /> APPROVED `'� <br /> PLANNING &COMMUNITY ; <br /> C�r•..7 <br /> ,.C• <br /> DE LOP ENT DEPT. �� <br /> DATE q 2°/ , <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> �/,��/ The undersigned owner/applicant hereby agrees to hold and save <br /> ja4tihtt �[�//I(�tN` /15/Zoizharmless the Cityof Everett from any and all claims for damages,costs, <br /> expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date r _ .Z6 — <br /> Approved as Constructed (PW Inspector) > tuf� . A•`•I t ��ff Datea22 ff <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE P+R I ISSUE ND REAFT R IS TO BE DILIGENTLY URSUED TO� <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />