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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: 4/23/2013 <br />Public Works Permit #: PW1304-020 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />KEASEY, G RAYMOND & ELAINE OWNER <br />1008 GRAND AVE <br />EVERETT Wq 98201 <br />PHONE: PHONE: <br />TAX PARCEL ID # 00438029901701 SITE ADDRESS: 1532 HOYT AVE <br />DESCRIPTION OF PROPOSED WORK: <br />RESIDENTIAL DRIVEWAY APRON <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 r- <br />4. As per approved plan dated 4-23-13 and the Public Works Inspector's direction in the field. Your Inspector is_.,... <br />Randy Allen. Please call him at 425-339-7403 to schedule a pre-construction meeting. = <br />. <br />����� � � ���� � <br />�.��_�. �� 9 <br />Ap roved for Construction Date <br />FINAL INS�ECTION Date <br />Approved as Constructed <br />- _'; - _ <br />._ i�'i ;' _: <br />�_... <br />i-�:; <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 proper�y damaged thereby. <br />, __�-=_---� �, /, �l, <br />�___�., <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 PRO]ECT OVER 90 DAYS DURATION. <br />