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PUBLIC WORKS Date /s/2o07 <br /> Public Works Permit# P110708-007 <br /> PERMIT Building Permit# <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street Planning Reference# <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 $5 0.0 0 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: John Leroy AND ADDRESS: see <br /> 619 Laurel dr. <br /> Everett Wa <br /> PHONE: 4253390175 PHONE: <br /> TAX PARCEL I.D.# PROJECTADDRESS: <br /> 619 T anrr•1 Dr_ <br /> DESCRIPTION OF <br /> PROPOSED WORK: Re-surfacing driveway <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 this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 UJ <br /> 4. Drainage from driveway should not impact the neighbourhood. <br /> 5. Keep City street clean at all times. <br /> 6. Construct area as indicated on the sketch up to curb or sidewalk. F ' CO <br /> ': <br /> 7. Replace damaged curb or sidewalk "-" mac.,. <br /> in { .v_ 0 <br /> o--� _ <br /> rrt •`µ- mq <br /> rr7 <br /> Inl' h c.7 93 z <br /> 1,s 0 <br /> 'r, <br /> rr�g r k <br /> P _.., <br /> el! ACKNOWLEDGEMENT OF CONDITIONS <br /> -- `' The undersig d owner/applicant hereby agrees to hold and <br /> A� ` -o-i a s-r save harmles he City of Everett from any and all claims for <br /> Noi <br /> t' damages c ,expenses,or causes of action that may arise <br /> Ap. .ved for Construct'. Date because i t Ilation and maintenance of the improvement or <br /> other rig y use hereto applied or and furth agre s to <br /> remove on notice from the ty and to re ace p blic <br /> FINAL INSPECTION property a d thereby. <br /> Approved as Constructed Date <br /> • <br /> Signature I Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM ISSUED N TH REAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON T IS ROJECT OVER 90 DAYS DURATION. <br /> EPWP(7/06) DATABAR,INC. <br />