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Date: 5/22/2015 <br /> PUBLIPWORKS PERMIT <br /> Public Works Permit#: PW1505-038 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; CW1505-001 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DAVID FLAKE SAME <br /> 10704-64th AVE NW <br /> MUKILTEO WA 98275 <br /> PHONE: 4259230524 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 1307 KOSSUTH AVE <br /> TWO 10' FEET WIDE DRIVEWAYS <br /> (5/22/2015 4:14 PM BES) <br /> CONSTRUCT TWO 10'(TEN FEET WIDE) 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 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 /> 4. The two 10'(ten feet) driiveways must be constructed per City of Everett Standards. w <br /> 5. Driveways must be paved. IE <br /> 6. It is the applicant/owner's responsibility to ensure that storm water runoff from new impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's Right-of-way <br /> and improvements located therein. O <br /> 7. Contractor/owner must contact the City of Everett Inspector <br /> Cliff Lindman 425-339-7404 proir to starting construction. <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 /> or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date public property damaged thereby. <br /> FINAL INSPE I Date <br /> Approved as Constructed Signature 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 />