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PUBLIC WORKS PERMIT Date: OB/13/2008 <br /> Public Works Permit#: PW0808-015 <br /> City of Everett Public Wortcs Department <br /> 3200 Cedar Street Buildinp Permit#; <br /> � Everett,WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other$: <br /> OWNER NAME AND AODRESS: APPLICANT NAME AND ADDRESS: <br /> GIDOS BARBARA OWNER ;� /�� /' <br /> 5202 SEAHURST AVE �> � L�' l�rt P^� r�+�`�•S z�� <br /> EVERETT WA 98203 y�5 3�7' 950� <br /> PHONE: 4252593854 PHONE: <br /> TAX PARCEL ID N 00436800002203 SITE ADDRE33: 5202 SEAHURST AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> REPLACE DRIVEWAY <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection shali be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and 5�ecifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> . � �A. Site visit 8 consultation with Public Works Inspector required before driveway is poured. The connectiort�of � <br /> drivewa and cit stre..t to be discussed and a roved � � <br /> Y Y ' PP �J��: <br /> � c �' M <br /> :: r� O hrl <br /> � FT*i�lO <br /> i <br /> K! <br /> L ~m—�/ <br /> n � <br /> n a'� _ �s1�/ <br /> ���' c-��=�:� <br /> -y. <br /> �--`E'� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Evereri from any and all claims for <br /> damages,costs,expenses,or causes oi adion ihat may arise <br /> because of installalion and maintenance oi the improvement <br /> i B �� 0� or other right-of-way use hereto applied tor and further agrees <br /> A ro d f Construc ' ate to remove same upon notice from the City and to replace <br /> p� public property damaged thereby. <br /> ,�'. B�--Z�� �z �Z��I.CL��I�� �/3//9 <br /> FINAL INSPEC ON Date <br /> Approved as Constructed Signature af Applicant Date <br /> WORK AUTHORlZED 8Y THIS PERMiT MUST BE STA0.TED WffHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER 15 TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMR MAY BE CANCELLED BY 11iE CIT'UPON ANY STOPPAGE OF WORK ON THIS FROJECT OVER 90 DAYS DURATION. <br />