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��; � PUBLIC WORKS PERMIT <br />' City of Everett Public Works Department <br />�_ : 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 4/18/2012 <br />Public Works Permit #: PW1204-014 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />HUMPHRIES JASON SAME <br />5929 DEXTER AVE. <br />EVERETT Wq 98203 <br />PHONE: 2065516727 PHONE: <br />TAX PARCEL ID # SITE ADDRESS: 5929 DEXTER AVE. <br />DESCRIPTION OF PROPOSED WORK: <br />DRIVEWAY <br />PERMIT CONDITIONS � <br />1. Ali 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. No dirt, mud, rocks or debris to be tracked onto roadway. ,, ,,, � <br />5. The contractor must meet with the Public Works Inspector to discuss the project prior to begining the pro�ect ;Cliff �:� <br />Lindman (425)339-7404. w <br />6. Gravel access along south property line for rear yard parking is acceptable to Traffic Engineenng 6uf paved :; � <br />driveway shall be located no closer than 10 feet to the south property line. -_ � - � <br />,.�.,. ;.::::: - _ � <br />Ap�dved for C <br />� �- Cvctid�� �"�z�VU �—ZyS � (� <br />FINAL INSPECTION Date <br />Approved as Constructed <br />_ - -� - <br />'�- : <br />_.. , <br />. < , ; ::: <br />;_. ... <br />,... , ._.� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmiess 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 tice from the City and to replace <br />public property d�rn ed thereby. <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DE�If"E PERf�T IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />