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�r <br /> PUBLIC WORKS De�e ��20�2000 .%� <br /> PERMITPublicWorksPermflN pW00��-012 <br /> Building pg�i�p <br /> PUBLIC WORKS DEPARTMENT Planning Reference p <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $ 45. 00 <br /> (425) 7•881 C � DEC 2 p � Guarantee$ <br /> 0 �G�T NG � <br /> OWNER NAME APPLICANT NAME <br /> ANDADDRESS:$0].1 TdlbOt Rl�. ANDADDRESS: <br /> EDMONDS WA 8011 Talbot Rd. <br /> 98026 ELMONDS WA 95026 <br /> PHONE: (425)776-1330 rHove: ( 425)776-1330 <br /> TAl(PAqCELI.D.N PROJECTADDRESS: 1 <br /> . vergreen way <br /> PaoPosEo°w"o°RK: ron age mprovemen s a ong verqreen way <br /> Thie project ia within 9nohami�Camty with the�h�ed fradage in EvaYit <br /> PERMIT CONDITIONS <br /> 1. AII calls for inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be perfonned in accordance with this permit�nd current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBE[i 1-800-42q.5555 <br /> 4. This i�ermit is for construction of the stx•eet Improvement only <br /> (Curb, Gutter and Sidewalk) W <br /> 5. Work Must be per the County Approved Plan and the Attached � <br /> cross-section of Evegreen way '.�A <br /> 6. Driveway entrance must be install per city Standard 307 v, <br /> �� �� ec�' CM.Str.w�1- 'ft��s , m <br /> '�`" O <br /> � <br /> Z <br /> ;4i ._.-ili.- '. il)...� O <br /> ��?�-�� 4J,�.."� � <br /> '_OTAL �c�.SC <br /> _ r.,..-,_.-�;. ��G <br /> n �L�Qn�I��. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �_ �7 �8 The undersigned owner/applicant hereby agrees to hold a�d <br /> AP ved lor Consimaion save harmless ihe City of Eveietl from any and all claims(or <br /> ���e damages,wsl, expenses,or causes ol ar.�ion that may arise <br /> because of installation and maintenance of the improvement or <br /> ����_ �Z _�_G,� other right-o4way use hereto applied for and further agrees to <br /> FINAL INSPECTION remove same upon notice from the City and to replace public <br /> Approved as Constmcted Dale propetty ama etl the�e6y. <br /> SignaWreolAppicant Date <br /> WORK AUTHORIZED BY 7HIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLCD BY THE CITY UPCN ANV STOPPAGE O�WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />