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' PUBLIC WO_RKS PERMIT °ate: <br />- ;_ <br />` Public Works Permit #: <br />City of Everett Public Works Department ; <br />� _ � 3200 Cedar Street . - - Building Permit #; <br />Everett, V1/A 98209 Planning Reference #: <br />(425) 257-8810 =- - - <br />- � - - Public Works Fee $: <br />;- ,:; <br />_.. <br />,.-.. . <br />_.. ...,... ��_..�...;:: t er <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />Charles N.Ihrig Same <br />1108 Grand Ave <br />EVERETT WA 98201 <br />PHONE: 2063624195 PHONE: <br />TAX PARCEL ID # SITE ADDRESS: 1108 Grand Ave. <br />DESCRIPTION OF PROPOSED WORK: <br />Replace Driveway <br />(4/10/2012 9:26 AM BES) <br />Replace with new concrete <br />4/10/2012 <br />PW1204-006 <br />$ 25.00 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. Ali 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 r- <br />4.City streets must be kept clean of mud, dirt and debris at all times. <br />5. Driveway must not exceed 20 feet in width from seback area. <br />6. Contact City inspector Randy Allen 425339-7403 prior to <br />starting construction. <br />Co <br />C <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 />(� ��;, f� 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 />��-- � �� �� <br />INAL INS CTION Date ' ' �� <br />Approved as Constructed Signatur f App►icant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND T EREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE C1TY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />