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.w: PUBLIC WORKS PERMIT Date: 11/28/2012 <br /> Public Works Permit#: PW1211-040 <br /> f% ; City of Everett Public Works Department <br /> f 3200 Cedar Street Building Permit#; C1211-026 <br /> E , x"7.77 Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MUSTACHE LAND DEVELOPMENT <br /> PO BOX 12176 <br /> BOTHELL WA 98082 <br /> PHONE: 4252440549 PHONE: <br /> TAX PARCEL ID# 00417000200600 - SITE ADDRESS: 2514 TAYLOR DR LOT 2 <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUSE <br /> LOT 2 SS 1202-06-016 <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 /> 1 I <br /> 4. Per Shortplat 1202-2006-016. ' •• <br /> Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for for7.cgigiitigin _S? <br /> 1=3 <br /> �� rn �_• <br /> �> � <br /> � —i._' <br /> i <br /> .a r.;i� <br /> I� *_ <br /> 4l.1/41 = .. i4 <br /> r�a -.f»ra r--- I-• = n <br /> -. '- r—•.� -.�I j r--•i--• r 3 <br /> CO co 1--•O©.L.G G L.l�•H L'1 C., <br /> rsy G r 0 i3 iLn r�G '•s•� —1 <br /> '��G�C?C7GL'l.?^.�n.p Cu e. <br /> C i •J1-^ <br /> —i Jr_. <br /> TO POSTING 4 3.hP <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 /> i' Z . .-/"2— or other right-of-way use hereto applied for and further agrees <br /> IrA • for Cons- tl• Date to remove same upon notice from the City and to replace <br /> p / J public p damaged thereby. <br /> / /0—/7—/3 <br /> FINAL INS' CTION Date �� <br /> Approved as Constructed Sig ature 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 />