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;� <br /> �'� Pl9BLIC 1NIOR14S PERMlT Date: 5/15/2013 � <br /> Public Works Permit#: PW1305-OC6 <br /> � City of Everett Public Works Department guiloinq Permit#; B13�5-011 <br /> � �� 3200 Cedar Street <br /> Everett, WA 98201 Planninq Reference#: <br /> (425)257-8810 , <br /> Public Works Fee$: $ 310.00 <br /> Other �: <br /> '�i� <br /> OINNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: w�' <br /> HILL STREET INVESTMENT OWNER =" <br /> P O BOX 5459 <br /> EVERETT WA 98206 <br /> PHONE: PHONE: <br /> TA.c PARCEL ID# 00576002600002 SITE ADDRESS: 2420 3FtTH ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> FILL BEHIND RETAINING WALL `" <br /> r <br /> � <br /> i �:, <br /> PERMII"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 hr� before you dig. TOLL FREE NUMBER 811 <br /> Your public works inpsector is Randy Allen. Please call (425)257-7268 for any inspections or questions. <br /> W <br /> H <br /> � <br /> �r^ <br /> �y I i� <br /> �--. <br /> � <br /> C <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everelt irom any and all claims for <br /> damages, cosls,expenses, or causes of aclion that may arise <br /> because of installation and maintenance of the improvement <br /> or other righ4of-way use hereto applied for and further agrees <br /> to remove same upon notice from lhe City and to replace <br /> AppfovefLf � onstr /� j Date public property damaged lhereby. <br /> ,�, , �^ �� 3 <br /> � _ <br /> FINA� INSP I Date <br /> Appro��ed as Constructed Signalure of Applicanl Dale <br /> INORK AUTHOF.IZED 6Y TNIS P[Rt,11T tdUST BE STARTED WITHIN 180 DAYS OF DATE PERNIT IS ISSUED AND THEREAF�ER IS TO BE DILIGENTLY <br /> PUFSUED TO C061PLF�lOIJ. THIS PLRI•1IT h1AY 6E CANCELLED BY TH[CITY UPON ANY STOPPhGE OF�,NORK ON THIS PRO)ECT OVER 90 DAYS DURATIOk. <br /> --- - . �,_..sy . ... . . _ , . _. <br />