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,, . <br />�4.. <br />��� ��%� <br />�UBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 5/5/2010 <br />Public Works Permit #: PW1005-004 <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ,ADDRESS: APPLICANT NAME AND ADDRESS: <br />HENG, RICHARD R SHAUGHNESSY JOLEAN <br />119 W INTERCITY AVE <br />EVERETT WA 98204 GOIo —,3-5`� —57�i-� <br />PHONE: PHONE: 2067642514 (r'QX <br />TAX PARCEL ID # OQ480200501600 SITE ADDRESS: 119 W INTERCITY AVE <br />DESCRIPTION OF PI�OPOSED WORK: <br />WIDEN EXISTING I�RIVEAY TO 20' <br />PERMIT CONDITIONS <br />1. All calls for inspecl:ion 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. Contractor must mE:et with Public Works inspector (call Cliff Lindman at 425-339-7404) on site when beginning <br />work <br />5. Keep city streets clean at all times <br />6. Extend culvert pipe in ditch as needed with like material -- <br />7. Pave driveway to existing edge of asphalt road � '�-' _ <br />-; �,--; <br />- �,��/'��-��� � = J�`-rG: <br />,%�1� �- � <br />Approved for Consl:ruction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />,_..,. ::: �. <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 property damaged thereby. <br />` � v� � ���-- � - ''�� � � <br />,r--� . � <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY ThIIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />