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PUB��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT O 6 <br />Eveett,eWA98201 TO POSTIN� <br />(425) 257-BB70 <br />BLUE FIDGE COF <br />PO BOX 302 <br />DWJILL Wl1 <br />rr+oNe: ( 206 ) 819-7413 <br />TAXPARCELI.O.N gg�00000150002 <br />ION AYYLII:PIVI IVMMt <br />AND ADDRESS' <br />98019 <br />PHONE: <br />PROJECTADDRESS: <br />DESCRIPTIONOF �(q HOUSE — B11SIC Z0G% <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Da�e <br />Public Works Permit M <br />8uilding Permit N <br />� Planning Relerence a <br />—FuGiic Works Fee $ <br />Guarantao $ <br />6415 N1IRBECK 11VE <br />i.oT �s ra,a�x�us <br />% <br />12/16/1999 <br />PW9912-035 <br />C9912-014 <br />$ 20.00 <br />1. Atl 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 4B hrs. before yw d�g. TOLL FREE NUMBER 1-800-424-5555 <br />�LOT 5 <br />V \ <br />4. Keep city streets clean at a?1 times. <br />5. Curb gutter and sidewalk in t;,<• ��lat are new and undamaqvd. any <br />damaqe thereto shsll be replaced a••. the discretion of tho Public Works <br />Inspector. <br />6. Prior to any change in the driveMay cut, approval mast be obtr.ined <br />from the PW inspector. Width of driveway at property line is limiLed to <br />the existinq apron width. <br />7. adjust water boxes to qra@e at end of construction. <br />8. Driveways shall be completeiy cured before drivinq on them. <br />9.Rooftop drainage shall be disrharged to the storm drainage stub <br />provided at the rear of the lot. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />� <br />'1"A� <br />VJ <br />0 <br />a <br />The undersigned ownerlapplicent hereby agrees to hold and <br />save harmless the Ciry ot Evarett from any and all claims for <br />damages, costs, expenses, or causes ol action that may anse <br />because of installation and malntenance ol the impro�Jment or <br />other right ay use hereto aoplied for e further agrees to <br />remove sa� ekpon n ice from City M to replace pubiic <br />ProPBrtY 9� e �„ <br />�•. - ! �1-oa <br />SgnamreolApplicant Date <br />WOflK AUTHORIZED BY TMIS PERMIT MUST BE STARTED WI7HIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT O'�EH 9U DAVS DURATION. <br />