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� <br />�T <br />P BLIC �ORKS PERMIT <br />V <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 5/23/2013 <br />Public Works Permit #: PW1305-009 <br />Buildinq Permit #; B1302-019 <br />Planning Reference #: <br />Public Works Fee $: $ 50.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />ALHUSSAINI AHMED ALHUSSAINI MO <br />1208 50TH ST SW <br />EVERETT WA 98203 <br />PHONE: PHONE: 4257501116 <br />TAX PARCEL ID # 29043600305600 SITE ADDRESS: 1208 50TH ST S� <br />DESCRIPTION OF PROPOSED WORK: <br />80 CUBIC YARDS OF FILL FOR TWO 12' RETAINING WALLS <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. Per approved plan dated 5/21/13. <br />Your public works inpsector is Randy Allen. Please call (425)257-7268 for any inspections or questions'"�` "` <br />- ,.., <br />,: ,� - , ... <br />:,.:, .:_. <br />,..... _... ,_:, ,:. .� _, <br />.,..• ,:._:. <br />-:� � ��; �: <br />-,. � � <br />Approved for Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />Date <br />Date <br />� <br />;,:; <br />': <br />' .,�, , _' � :, ..�'. . �! T; <br />,, ., ��r,, ,� :, �-��' �: t � � .:; ;' <br />_ ; <br />-; =. - _..: , <br />_, .._ ... ... ,. ,_ <br />E"", <br />� <br />� <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 damaged thereby. <br />� � T /' `� / <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 PROJECT OVER 90 DAYS DURATION. <br />