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PUBLIC WORKS Date 7/30/2003 <br /> Pubtic Works Pcrmit a P�T0307-091 <br /> PER M 1 T Building Pcrmit a � <br /> PUBLIC WORKS DEPARTMENT Planning Reference s <br /> 3200 Cedar Street <br /> Everetl,WA gB201 Public Works Fee$ $25.00 <br /> (425)257-8810 <br /> Guaramee$ <br /> OWNER NAME Ef1f119 Rld qppUCANT NAME <br /> ANDADDRESS: S4O0 Geand AVf ANDADDRESS: <br /> EVEkE'1'I' fiA 982�1 <br /> PHONE: 92S�ZOIIB4 PHONE: <br /> TAXPARCELI.D.p PROJECTADORESSIQ(Iti GCdOd AVB <br /> DESCRIPTIONOF C1V2Vdy <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in adva �.ce• phone (425) 257-8810 <br /> 2. All work shall be peAormed in accordance wilh this pei mi�and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 ,, 1 <br /> 9. A3 per appcoved plan dated 7/�/03 and the puhlic vocks inspec:toc' a direction in W <br /> the fiel�i. <br /> 5. Nev driveway shall Ge paved vit.h 3 h3CCI surfacing. � <br /> 6. The neW dciveuay appcoaeh �hall be as pec city of evecett �tandaed plan A�309. V/ <br /> Exis'ina sidewalk a cucb must Le ceauved to an existing full depth expan�ion joint or M <br /> with the public WCIi9 inspectot'� peemiasicn, the exiatiny �ay be cleanly eav cut at a W <br /> 3COYe mark. O <br /> � <br /> Z <br /> O <br /> H <br /> 3_ � _ o s v ��� caz�v-e w�.� O <br /> +�z�•r h..�.-,-r,o�-°�— <br /> a <br /> ACKNOWLFJGEMENT OF CONDITIONS <br /> � �i � The undersigned o�merlapplicant hereby agrees to hMd erxl <br /> save harmless the Ciry ol Everetl from any and all daims for <br /> nq ed br onswcron oaie damages,costs,upenses,or causes o�action ihat may arise <br /> because of installation and maintenanco of the improvement or <br /> / `�, J/ � O� other righ4oFway usa hareto appliad for and NMer agrees to <br /> � remove me upon notico from the City and to roplace public <br /> fiNftt PECTION parry tla aged thereby. <br /> Approvetl as Conslructetl Date <br /> ��, 7-3a— D S <br /> SgnalureolApplkam Date <br /> WORK AUTHOFIZED BY THIS PERMIT MUST BE STARTEO WITHIN 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENttY PURSUED <br /> TO COMPLETION.THIS PERMIT MAV BE CANCELLED BY 7HE CITY UPON ANY STOPPAGE OF WORK ON TMIS PRQIECT OVER 9L DAYS DURATION. <br />