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1 <br /> c <br /> PUBLIC WORKS PERMIT Date: 7/10/2014 <br /> Public Works Permit#: PW1407-013 <br /> .4 wa� City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1407-013 <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 50.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PACKER ROBERT L & HEIDI GRA <br /> 1209 MADRONA AVE <br /> EVERETT WA 98203 <br /> PHONE: 4252594847 PHONE: <br /> TAX PARCEL ID# 00505700003701 SITE ADDRESS: 1209 MADRONA AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> EROSION CONTROL/RETAINING WALL <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. All work shall conform to the CG Engineering Project Plans and Structural Calculations (CG Engineering Project <br /> No. 13046.10) signed by Greg Guillen, PE and dated 6/20/2014 as well as the"Geotechnical Engineering <br /> Evaluation" prepared by Nelson Geotechnical Associates, Inc. (NGA file No. 870113) dated 3/11/2013 and also the <br /> "Updated Geotechnical Plan Review Letter" prepared by Nelson Geotechnical Associates, Inc. (NGA File No. <br /> 87101313) dated 6/30/2014, both documents signed by Lee S. Bellah, LG, Project Geologist and Khaled M. Shawish, <br /> PE, Principal. <br /> 5. CALL 811 FOR UTILITY LOCATE PRIOR TO BEGINNING ANY WORK ON THIS SITE. Q <br /> 6. There is a City Sewer Main that runs behind this residence in the vicinity of the proposed construction. Take due <br /> care and caution to preserve and protect the main from damage at all times during construction. The Applicant Q <br /> signed below shall bear the expense to correct any damage caused to City facilities as a result of this construction <br /> project. <br /> 7. No track-out of mud or debris is allowed. Keep City streets clean at all times during construction. Q <br /> Your Public Works Inspector is Randy Allen. Please contact him at 425-339-7403 to arrange a pre-construction <br /> meeting prior to beginning any work. <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 /> or other right-of-way use hereto applied for and further agrees <br /> A r ed r C strut 'on Date to remove same upon notice from the City and to replace <br /> pP public property dam d thereby. _T <br /> INAL INSPE I N Date. <br /> Approved as Constructed Signature of Applicant Date r <br /> 3/4WORK 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 />