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PUBLIC WORKS Date 5j39i'Op7 <br /> PublicWorksPermqa pWn7n5-n51 <br /> PE R M 1 T Builtling Permit : <br /> PUBLIC WORKS DEPART 'ENT Planning Refcicnce� <br /> 3200 Gedar Sireet <br /> F��erett,WA 98201 Public Works Fee 5 � <br /> (425)257•BB70 5 c 5.0 0 <br /> Guarantee 5 <br /> OIYNER NAIdE APPLICANT NAME <br /> ANDADDRESS: V1CtOC Lapastolle ANDADDRESS: S�e <br /> 9024 Fciday Ave. <br /> Everett W3 ?6201 <br /> PHONE: �]?SZS�Qb31 PHONE: <br /> TAX PARCEL I.D.q PRQIECTA�DRESS: <br /> 902 �o <br /> DESCRIPTIONOF Cut cucb foc dcivewa and <br /> PROPOSED WORK: }� pave <br /> PERMIT CONDITIONS <br /> 1. Ail calls tor inspeclion shall be made 23 hours in advance. <br /> 2. All work shall be perlormed in accordance wilh this permil and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hr,. before you dig.TOLL FREE NUMBER 1-800-424-5555 W` <br /> 1. Make �ure dri��ew�y i� paved per �tan�acd dcaving 307.and the width not exceed 20' = <br /> feet lrt vldth, 'A <br /> V� <br /> `- . Dtake cuce the Lunoif Yrom th� driveway net to impact the M <br /> •:u�zoundin�T E:�rope�tie�, ��r <br /> O <br /> . � <br /> , . � % ,- , . �� z ... -�� �- < �/- y-�5 �3 � -7f.C� ; Z <br /> , <br /> 0 <br /> ~ <br /> � <br /> 0 <br /> a <br /> �, ��� <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and <br /> ��j � save harmless the City ol Everett Irom any and all claims for <br /> �'� A prov �Constmc� Da damages,costs.expenses,or causes oi action that may arise <br /> because ol installation and maintenance ol Ihe improvement or <br /> � / r7 other ng way e ereto applied lor and further agrees to <br /> (p 2 / O • re ovo � � upo nd lo re ce p lic <br /> FINALINSP TION P� 'h � <br /> ApprovMasConstructotl Dale � („ ((� �\� <br /> � ( J cJ <br /> L �g Wr o� pp .nl Dato <br /> F'JORK AUTHORIZED DY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUE�ANO7HEREAFfER IS TO DE DILIGENTLY PURSUED <br /> i0 C01.1PLETION.THIS PER1dIT IAAY�E CANCELLED BV THE CIi`.'UPON ANV STOPPAGE OF WOFK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> . .. �. � D4iPPari.INC <br />