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PUBLId WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />00 T 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 �(• [, 1 3 200Z <br />�� ho1rlN�_ <br />2/23/O1 <br />Public Works Permit a PWO102-018 <br />Building Permit a <br />Planning Reference a <br />Public Works Fee S <br />Guarantee S <br />C0102-008 <br />$25.00 <br />OWNER NAME BUSCH FRED DEE <br />AND ADDRESS: / <br />AND APPLICANTNAME <br />4631 DARLINGTON LN <br />EVERETT WA 93203 <br />PHONE: ( 425) 347-4019 <br />PHONE. <br />TAX PARCEL I.D.a 00549400401500 <br />PROJECTADDRESS: 4631 DARLING`I'ON LANE <br />DESCRIPTION OF TWO STORY ADDITION <br />PROPOSED WORK: <br />PW <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800424.5555 <br />4. Align driveway to exit street on property frontage. <br />5. No filling or grade changing allowed in alley right-of-way <br />mutually agreed to by poperty owner to the north of the alley. <br />letter of approval by adjacent property owner to Public works <br />attn: Kirk Brooks. <br />� ZL O1 <br />r Constwoon Date <br />FINAL INSPECTION <br />Approved as Constructed Date <br />03-12-01 <br />3:25RG <br />It <br />0102008 <br />GUILD <br />692.75 <br />SRCHB <br />4.50 <br />MECH <br />30.00 <br />ORIVE 25.00 <br />^ n TOTAL i52.25 <br />V <br />MAR 12 <br />�D <br />ZpM <br />`Iperov <br />mt SerN Gcs C <br />A OM1789 <br />unless <br />Submit <br />Dept., <br />CNE}C <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />VI <br />m <br />0 <br />Q. 7�`5 <br />0 <br />a <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 or <br />other right-of-way use hereto applied for and further agrees to <br />remoyy��same upon notice from the City and to replace public <br />propA damaged #creby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />