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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />(425) 257-8810 <br />Date <br />4/17/2002 <br />Public Works Permit a PW0204-036 <br />Building Permit # <br />Planning Reference a <br />Public Works Fee $ $25 . 00 <br />Guarantee 5 <br />OWNER NAME Kenneth Langston <br />AND ADDRESS. an <br />APPLICANT NAME Kenneth Langston <br />enneanCI AND ADDRESS <br />3510 1Lombard <br />3510 1Lombard <br />Everett wa <br />98201 <br />Everett wa 98201 <br />PHONE 4252528365 <br />PHONE 4252528365 <br />TAX PARCEL I.D.A <br />PROJECTADDRESS. 3510 Lombard Ave <br />PROPOSED WORK Install Driveway <br />cut for previously installed asphalt <br />drive <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 his. before you dig. TOLL FREE NUMBER 1-800.424.5555 <br />4. Driveway approach to be installed per City Standard #307 <br />5.Contact Dennis Gabelman,Public Work inspector 425-339-7403), to <br />review project on site before beginning work. <br />This permit <br />and the fact <br />Alley down a <br />04-22-02 5:02PM <br />A 204036 <br />DRIVE 25.00 <br />TOTAL 25.00 <br />GHEK. <br />A OH7638 <br />is given in consideration of Patricia Langston's disability <br />that it is not resonable for her gain access from the <br />slope and stairs. <br />er <br />G/— A roved for Consuucuon � Ir �I-- <br />FINAL INSPECTION <br />Appwveu as Constructed Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />,F— <br />vi <br />m <br />O <br />2z <br />O <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 />remove same upon notice from the City and to replace public <br />propsVofApplicant <br />damage thereby. <br />_ Sign Dale <br />WORK AUTHOnIZED 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 91) DAYS DURATION <br />