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PUBLIC WORKS PERMIT Date: 2/22I2012 <br /> Public Works Permit#: PW1202-010 <br /> City of Everett Public Works Department guildinp Permit#; C1202-006 <br /> ,r � r��� 3200 Cedar Street <br /> Everett, WA 98201 Planninp Reference#: <br /> (425)257-8810 public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS� <br /> JUBIE HARVEY 8 JANET OWNER <br /> 4229 76TH ST NE <br /> MARYSVILLE WA 98270 <br /> PHONE: 4258766181 PHONE: <br /> TAX PARCEL ID# 00468622401500 SITE ADDRESS: 1102 GRAND AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW HOUSE <br /> PERMIT CONDITIONS <br /> 1. All calis for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the perm�t and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Cail Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 611 <br /> 4. Driveway per City Standard#309 <br /> 5. Replace existing driveway with curb& gutter per City Slandard#305A w <br /> 6. Sidewalk per C ty Standard#306 (..w <br /> i..� <br /> Randy Allen is your Public Works inspector- he can be reached at 425-339-7403 for questions and inspections Uj <br /> � <br /> 0 <br /> � <br /> � <br /> � <br /> 4 <br /> TO POSTING `i " ' � �' <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to ho�d and <br /> save harmless the City of Everett from any and all ciaims tor <br /> damages,cosls,expenses.or causes of action that may arise <br /> , � because of installation and maintenance of lhe improvemenl <br /> 2 ,�.� or other righl-ot-way use hereto applied(or and further agree� <br /> to remove same upon notice from lhe City and to replace <br /> App ve o�Const�u ionJ,� Dat2 public property damaged thereb�. <br /> / <br /> 2� <br /> L�-�.�, . '. � - 9 I- � _ z ' Z <br /> INAL INSP TION Date �tu � �� N <br /> Approved as Constructed SignaWre of A plic nt Date <br /> \VORK�UTHORIZED BY THIS PERMR MUS7 BE SfARTED WRHIN 180 DAYS OF DATE PERMR IS 155UED A D THEREAFTER IS TO BE DiLIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMR MAV 8E UNCELLED 6Y THE CITY UPON ANY STOPPAGE OF 1VORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />