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PUBLIC WORKS PERMIT Date: 12/4/2012 <br />�':' =' _ � Public Works Permit # PW1212-002 <br />' City of E�•erett Public Works Department <br />,i; � '" 3200 Cedar Street Buiidinp Permit #; C1210-023 <br />';,-/�'�>r`S�it� Gverett. WA 98201 Planning Reference#: <br />(425) 257-8810 <br />Public Works Fee 5 5 25.00 <br />Other S. <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />BRUNNI ANTHONY C& COOPER J <br />5620 HIGHLAND RD <br />EVERETT WA 98203 <br />PHONE: 4253537161 <br />AX PARCEL ID # 00471600003400 <br />DESCRIPTION OF PROPOSED WORK: <br />DRIVEWAY <br />PHONE: <br />I SITE AqDRESS: <br />�� ��t �ti � <br />V <br />�I C�� <br />IGHLAND RD <br />?ERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hpy�r n advance. <br />2 Ali Nork shall be periormed in accordance with Ihe permit and current C�ry of Everett Design and Construction Standards <br />and Specificalions. <br />3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. 20' driveway (asphalt paved). <br />Your Publ c Works Inspector is Randy Allen. Call h:m at 425339-7403 for questions and inspections <br />.-. �— � �. �— �-• <br />-�� ,��� � � � <br />Approved for Conslruction Date <br />FINAL INSPECTION Date <br />as Constructed <br />� �—. r�- cn T �: �� -r, <br />�)r=�� riTir <br />�m�ac�-i <br />� =� T S %� <br />:-� f*1 <br />� <br />� <br />r <br />� <br />�== � �. «. _. <br />� iv �a, �s..�- � , <br />(�j � � �—� ... .c, r� �v ._ <br />1;. _ i . _, t . :�+ . � 1� �_ <br />1j �'c. :_ � _ _ ._. �FT r'_i <br />� 1�: <br />F� � �. <br />z <br />ACKNOIh'L[DGFMGNT OF CONOITIONS <br />The undersigned o�vnerlapplicant hereby agrees lo hold and <br />save harmless the Cdy of Everelt 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 righ4ol-way use hereto applied for and fu�iher agrees <br />b remove same upon notice from the Cily and to replace <br />publi operty d ed Ihereby <br />� rzu. ;,�w, (-f�� <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERh1R P'�.USf 6E STARTED 1'JfTHlN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEMTLY <br />PURSUED TO CODIPLEROM. THIS P[RMIT i tAY 8E UNCELI[D �Y THE CITY UPON ANY STOPPAGE OP 1NORK GN TNIS PFOJECT OVER 90 DAYS DURATION. <br />