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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32DO Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME SOULIER MDERIC AND <br />AND ADDRESS. <br />4118 GRAND AVE <br />EVERETT to 98203 <br />Date 06/17/2003 <br />Public Works Permit rr P90306-017 <br />Building Permit M <br />Planning Reference <br />Public Works Fee S $25.00 <br />Guarantee $ <br />PHONE: 4252525900 IPHONE'. <br />TAX PARCEL I D.x 00596200900800 PROJECT ADDRESS. 4118 GRAND AVE <br />DESCRIPTION OF PAVE EXISTING DRIVEWAY <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone (42`) 257.8810 <br />2. 4,11 work shall be performed in accordance with :his permit and current City of Everett Design and Construction <br />Sr; ndards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Pave driveway with a slightdip at area of natural drainage along edge of roadway. <br />Approved as Constructed <br />& �//7/031 <br />Dale <br />07-14-03 <br />3:09PM <br />9 <br />0306017 <br />CRIV= <br />25.00 <br />T01AL <br />Z5.00 <br />A 0"3661 <br />ACKNOWLEDGEMENT OF CONDITIONS <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 fu r agrees to <br />remove same upon notice from the end t place public <br />pr dam thereby.) <br />Signature of Applicant Date <br />TY THIS PERMIT MUST BE <br />O COMPLETION. THIS T MAY BE CANCELLED BY WITHIN tDILIGENTLY80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE URSUED <br />THE CITYUPON ANVY STOPPAGE OF WORK ON THIS PROJEC OVER 90 DAYS DURATIONP <br />T <br />