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r I <br /> � PUBILIC WORKS °e�e 3/23/2001 j <br /> PERMIT PuElicWorksPertnitN pW0103-029 <br /> Building Pertnit p <br /> PUBUC N ORKS DEPAR'fMENT Planning Reference k <br /> 32J0 CeCar Sirett Public Works Fee E $25. 00 <br /> Ev�retl,WA 98201 <br /> (425)257-8510 Guarantee S <br /> OWNER NAMG ^'�' APPLICANT NAS1E � <br /> AND4DDFESS: tUCFIEll ANDAD�RESS: C.� $17P_Yt ' <br /> 2707 Colby Ave �1208 2911 1/2 Hewitt Ave <br /> EVERETT WA 98201 EVERETT WA 98201 <br /> P"o"E: ( q251 259-5567 PHo"E' ( 425)258-9366 <br /> TA%PARCELID.• PROJECTADDRESS'. <j01 Wzstminister Circle <br /> DESCRIPTION OF <br /> FROPOSEDWORK: RE?IROV@ and replace existing driveway <br /> This includes replacing the curb-cut at the stre��t <br /> PERM�T CONDITIONS <br /> 1. All calls 1or inspection s.'ali be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current Ciry o1 Everett Design and Conslrudion <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.belore you dig. TOLL FREE NUMBER 1�800-424-5'i55 <br /> 4 . Work shall be done so as not to impact adjoinina properties with W <br /> rainwaler runoff. � <br /> 5 . Replace driveway at street apron as before. Concrete in ROW shall be iA <br /> 6" thick and fo!.low city standard plan 307 as close as practical w� <br /> 6. Wash-off material from the exposed aggregate work to be dune is not � <br /> to be washed into the Drainage system. O <br /> 7. �o ho!'Pa✓c ovc� /,uafrr s/�vY�ar4'�' o: :'-:; :.; ;i�'_ ' <br /> i UiO;;_' <br /> — ^ Z <br /> _ . . . ,_ .' . : � O'i <br /> /�� � <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C'7�//�/ � The undersigned owncr/applicant hereby agrees tc hold and <br /> �;:�i 3 as o / save harmless ihe City of Everett Irom any and all claims tor <br /> Amm �m�c�svuci�o� 0 e� damages,cosis,eKpenses.or causes ol action that may arise <br /> � �^ because ol installation and mainten:.nce oi the improvement or <br /> olher righ4obway use hereto applied br antl IuAhcr agrees to <br /> ,cd�� �� � � remove sam notic m the Ciry antl to replace public <br />� FlNAL INSPECTION propc am d t y. �7 <br /> Apprwed as ConSVucietl Dale - <br /> ' __��3-0/ <br /> Signalure pnl�cant Date <br /> WORK AUTHORIZED AY THIS PERIdIT M�IST BE S iPATED WIT}IIN 1Pn DAYS OF DATE PERMIT IS ISSUED AND TMEREAFTER�S TO BE OILIGENTLV PURSUEO <br /> 1 O C061PLE7ION.TMIS PERM1v f MnV BE CANCELLED DY THE qTV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 30 DAVS DUPATION. <br /> I <br />