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� <br />�T <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 7/10/2014 <br />Public Works Permit #: PW1407-013 <br />Building Permit #; B1407-013 <br />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 Wq 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 calis 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 />8710B13) 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. <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 <br />signed below shall bear the expense to correct any damage caused to City facilities as a result of this construction <br />p roj ect. <br />7. No track-out of mud or debris is allowed. Keep City streets clean at all times during c�nstruction. <br />Your Pubiic 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 />Approved for Construction <br />-! [� 1 <br />Date <br />/� f]�G1G �S ��� �'—� �— I S <br />FIN�L INSP�N Date. <br />Approved as Constructed <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 />to remove same upon notice from the City and to replace <br />public property dam d thereby. � <br />, <br />L �� � � � � ( � <br />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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECi- OVER 90 DAYS DURATION. <br />�" _ <br />