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PUBLIC �ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />• Date: 5/28/2013 <br />Public Works Permit #: PW1305-011 <br />Building Permit #; B1305-031 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />KNEIFEL JUERGEN <br />13610 67TH AVE W <br />EDMONDS Wq 98026 <br />PHONE: PHONE: <br />TAX PARCEL ID # 00392000003703 SITE ADDRESS: 7110 LOWER RIDGE RD UNIT B <br />DESCRIPTION OF PROPOSED WORK: <br />EXTEND 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 />Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections <br />for <br />L INSPECTION r <br />roved as Constructed <br />ppS11NG � �- �---��'"_._.�- <br />�Q <br />� � U � <br />�UN 2 $ �013 <br />CITl' QF E`�IERETT <br />Pei'1711� �ei•vices <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 />public property damaged thereby. <br />Signature of Applicant <br />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 />7 � �� <br />