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L <br />f V'� <br />� <br />''Y'C� <br />Pus�ic wa��s <br />PERMIY <br />PUBLIf, WORKS DEPAFTMENT <br />3200 Cedar Street <br />Everett, WA98201 <br />(425) 257-8810 <br />ON'NER NAldE <br />ANDADDRE55: DebC� StCd[1� <br />8909 9th pl. w. <br />Everett <br />PHOiJE: Q?53Q7qQ75 <br />TAX PAFCEL I.D.# <br />DESCRIP710N OF <br />PROPOSED WORK: <br />ANDAOD(iESS: $3ma <br />Wa 98209 <br />PHONE: <br />PROJECTApDRESS: ory� <br />2-3 foot '_etainina wall and landscape <br />Date <br />Public Works Permit k <br />8uilding Permil X <br />Planning Reterence N <br />Public Works Fee 5 <br />Guarantee 5 <br />g!"i,nn� - <br />Yw0705-055 <br />$25.OG <br />2-3 fo�t retaining wall(block wall? behind thu sidewalk, backfill <br />and �iic ;�,mc �:lant som;: briiind the vall _--_---------- <br />PERMIT CONDITIONS <br />1. All calls (or inspeclion shall be made 24 hours in advznce. <br />2. All H�ork shall be perfo�mrd in accordance with this permi� and current C.y ef Everett Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />7. In ti�e eaent that the City h3s pr�ject buhind the sidewalk <br />in the right of way the ovnzc will have tc cemove the �,�a11. <br />E. The w31L• �hould not be no moru thsn 3 fe=t high <br />icom rh� fn��Cim� <br />, <br />,��- <br />�� <br />( ���� ,_, �� <br />� <br />��6��- <br />Z <br />� <br />� <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignad ownedapplicaN hereby agrees to hold and <br />save harmless the City ol Hveratt (mm any and all claims lor <br />damages. wsts, expenses, or causes of action that may arise <br />because of installalion antl maintenance oi Ihe improvement or <br />other right-of-way use hereto applied for and t�tlher agrees �o <br />remove same upon notice from lhe Ci�y and to replace public <br />pmperty damaged therehy.- � �^ <br />� ( fj _ -�i / %IJ� ./- l\ _� �-�� <br />� - - � Signa�urc of Applicam Dato <br />TO COhiPLET�lO� T� S PEFM T MAY BE CANCELLED BV�7FIE CI7Y�UPON AN�Y S70PPAGE OF � ORK ON THI6 PROJEC OVER 9 DAYSIDURATIONPURSUED <br />onTaoa�+. wc <br />CPWPI]/06) <br />