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6/18/85 <br />Date <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />A1 Wexler 6409 Fleming i�!^ <br />� <br />Public Wods Permli r _ <br />eidv. oaPi.. 85/14913 <br />PUCIic Works Fee s <br />Tolal Fee <br />Less Appl. Fee PaiO $ <br />Balance Due S <br />Everett 98203 <br />Owner Mai4ing Address City Zip Phone <br />Rob Lund 3806 Smith <br />Evarett 98201 256-1777 <br />Applicant Mailing Address City Zip Phone <br />Construct retaining wall on private property <br />Describe Proposed Work � <br />Pro�ect Address (if known) <br />_ 6409 Flem <br />Attach tour (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Linas • Centerline of street <br />• Outltne and dimensions of all existing and • Indicate North <br />proposed structures on the lot . • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PEHMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-881 5. <br />2. All work shel� be pertormed in accordance with this pe�mit and current City of Everett Design and Construction <br />Standards and Specifications <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />� i ���W� �✓'1_�" ..Jv!//"�—� � ^'IiLP" <br />��� <br />�p �8 8.� 7�r� <br />Approved for Cor.siruction Date <br />FINAL �NSPECTION <br />Approved as Constructed <br />evere[t PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-887 5 <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />�ess the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ot-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVEii 90 DAYS DURATION. <br />z <br />0 <br />-.� <br />c`"'� <br />m <br />.-. .. <br />� T <br />..� <br />�n x <br />v <br />m <br />m� <br />�c <br />0 <br />i -Z-i <br />m <br />«. <br />o z <br />�s <br />M F� <br />"'� �/1 <br />< <br />T <br />O 7� <br />�1 D <br />—i m <br />m� <br />N <br />O <br />or <br />c vmi <br />m �' <br />z c"� <br />:� m <br />a <br />A <br />�-i <br />x <br />A <br />Z <br />� <br />_ <br />� <br />Z <br />0 <br />-� <br />� <br />m <br />� <br />