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0 <br /> PUBLIC NORKS PERMIT Date: 9/18/2015 <br /> Public Works Permit#: PW1509-016 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ESCOBEDO, INDALECIO ESCOBEDO, INDALECIO <br /> 1410 KOSSUTH AVE 1410 KOSSUTH AVE <br /> EVERETT WA 98203-6636 EVERETT WA 98203-6 <br /> PHONE: 4255014123 <br /> PHONE: 4255014123 636 <br /> TAX PARCEL ID# 00394100200300 SITE ADDRESS: 1410 KOSSUTH AVE <br /> New Driveway-Pavers <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. Pave driveway from the front property line out to the street paving. TI—�I <br /> LTi Vl <br /> 5. Drivewaywidth must not exceed 20 feet. <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert 425-339-7404 prior to starting construction and—r': <br /> with all other inspection requests. See attached to request an inspection. <br /> Public Works Permit Fee Breakdown: 0 <br /> nth r.r`� <br /> PW Plan Review$20.00 r <br /> PW Inspection$20.00 <br /> Driveway$25.00 C".),=')LO <br /> IBJ A <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 /> Approved or G struction Date m e same upon notice from the City and to replace <br /> Ppb pu is p y dam ed re y. — <br /> FINAL INSPECTI N Date J I <br /> Approved as Constru ted Sign t pplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN I80 ATE 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 /> 11T_& <br />