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, <br />PUBLIC WORKS PERMIT Date: <br />Public Works Permit #: <br />City of Everett Public Works Department <br />3200 Cedar Street Buildinq Permit #; <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />AKYEL SAMI A <br />2007 OAKES AVE <br />EVERETT Wq 98201 <br />PHONE: <br />AX PARCEL ID # 00437942100400 <br />DESCRIPTION OF PROPOSED WORK: <br />PAVE DRIVEWAY <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 2007 OAKES AVE <br />6/7/2013 <br />PW1306-008 <br />B 1306-002 <br />$ 25.00 <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. Per approved plan dated 6/6/2013. <br />r-- � � <br />App e for �on ctio Date <br />��t�f � ,��� ¢. <br />�� <br />� ti <br />FINAL INS CTION Date <br />Approved as Constructed <br />��.: ,.-.�,, <br />._ uh�y� �..'`�� _ . <br />—�a :r� , - �= r �, ; <br />:�_;� r _.> �:;�� r�., <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� c� erty damaged thereby. <br />�`%� �� (��Z.�_i3 <br />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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� �°� (=�' � `� <br />