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PUBLIC WORKS PERMIT Date: 10/14/2009 <br />Public Works Permit #: PW0910-012 <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; 80910-019 <br />Everett, WA 98201 Planning Reference #: <br />(425)257-8810 <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />ANDERSON RICK & HOLLY OWNER <br />4704 HARBOR LN <br />EVERETT WA 98203 <br />PHONE: 4252650848 PHONE: <br />TAX PARCEL ID # 00417100000802 SITE ADDRESS: 4704 HARBOR LN <br />DESCRIPTION OF PROPOSED WORK: <br />SOLDIER PILE 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 areas that are disturbed within the critical areas and the critica areas buffer must be restored as required by <br />the City of Everett. <br />5. Work to be done per CG Enineering design dated 9/24/09 <br />s <br />W <br />6. The stormwater piping to convey the drainage to the bottom of the slope as indicated on tIMpleysan %quirr�o. <br />permissicn or an easement from the adjoining property owner. Shop drawings for this work st t%�dl�[od <br />tb: <br />the City for approval. <br />F+ <br />O <br />IL <br />W <br />wIwA 1— <br />r v �i nn <br />r-' F,y r_•I vI <br />`= r <br />co <br />cn <br />aClz iJ L% 0 <br />Approv for Construction D e <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 />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 />