6002 MCDOUGALL AVE 2016-01-01 MF Import

�H E PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: O6l11 /2010 Pubiic Works Permit #: PW1006-013 Buildinp Permit #; Planninp Reference #: Public Works Fee $: $ 25.00 Other $: OYVNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: FORNEY CARLA 6002 MCDOUGALL AVE EVERETT �/�Iq 98203 PHONE: 4253450531 PHONE; TAX PARCEL ID # 28050500201600 SITE ADDRESS: 6002 MCDOUGALL AVE DESCRIPTION OF PROPOSED WORK: RETAINING WALL IN R-O-W PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL fREE NUMBER 811 � 4. If the City of Everett needs to work in the right-of-way in the location of the wall, the retaining wall will need to be removed at owner's expense ;; ACKNOWLEDGEMENT OF CONDITIONS Tlie undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett (rom any and all claims for damages, costs, expenses, or causes ot action ihat may arise because of inslallalion and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upqqqq notice from ihe City and to replace public property dan(aded ihereby. 7 � '' -' �-�s-z�ro Signature of Applicanf Date WORK AUlHORIZED BY THIS PER�11T MUST 6E STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTl� PURSUED TO COhiPLETION. THIS PER�11T h1AY �ic CANCELLED BY THE CI7Y UPON ANY STOPPAGE Of WORK ON THiS PRO]ECi OVER 90 DAYS DURATION.