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4913 DELAWARE AVE 2016-05-19
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4913 DELAWARE AVE 2016-05-19
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Last modified
5/19/2016 1:47:53 PM
Creation date
5/19/2016 1:47:53 PM
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Address Document
Street Name
DELAWARE AVE
Street Number
4913
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PUBLIC WORKS PERMIT Date: 4/9/2013 <br /> Public Works Permit#: PW1304-006 <br /> City of Everett Public Works Department <br /> St TT 3200 Cedar Street Building Permit#; B1304-001 <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 /> FALLEEN LINDA <br /> 4913 DELAWARE AVE <br /> EVERETT WA 98203 <br /> PHONE: 4255120731 PHONE: <br /> TAX PARCEL ID# 00410200011500 SITE ADDRESS: 4913 DELAWARE AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PAVING <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 from alley to garage. <br /> m <br /> i <br /> Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and in9getiOs "'r -- <br /> m Fes^- - ,Cr) <br /> VI <br /> 111 <br /> I -I ,O <br /> LJA T G "J ` <br /> OC-N <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 /> /Oor other right-of-way use hereto applied for and further agrees <br /> -717 <br /> Appro -d •r Co • Date to remove same upon notice from the City and to replace <br /> pp public property damaged thereby. <br /> MIL Al A 7-15- <br /> FINAL INSPECTION Date J <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 />
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