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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257.8810 <br />Date 09/05/2003 <br />Puhllc Works Permit - PW0309-003 <br />Building Permit a <br />Planning Reference C <br />Public Works Fee S $0.00 <br />Guarantee S , <br />OWNER NAME <br />ANO ADDRE SS <br />VAN ASSCHE SAERALYN <br />APPLICANT NAME <br />AND ADDRESS SAPS <br />11721 STATE AVE <br />MARYSVILLE WA <br />98271 <br />PHONE <br />3606533969 <br />PHONE <br />TAX PARCEL I D . <br />PROJECT ADDRESS 3426 WE-1Ml1RE AVE <br />DESCRIPTION OF <br />INSTALL DRIVEWAY <br />PROPOSED WORK <br />PERMIT CONDITIONS <br />1. All 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 48 hrs. before you dig TOLL FREE NUMBER 1.800.424.5555 <br />4. Driveway eurface to be paved. <br />S. Meet with Public Works Inspector (Dennis Gableman, 425-339-740") prior to srarting <br />work. <br />r V'sch <br />aye, st�o <br />FINAL INSPECTION <br />Approved as Constructed Date <br />SFp nf0'200J <br />D <br />k- CIT 'I <br />ACKNOWLE6GC'(41Eh{ _Ce' ITIONS <br />vices <br />W <br />F— <br />a,• <br />N <br />W <br />O <br />n <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•ol-way use heels applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged therebl <br />a"�_ iI � S 1(3 <br />Signaluie 01 AppliCani Dale <br />WORK ALIT HOR12ED BY THIS PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE PERMI • IS IdSUEO AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF NOHK ON THIS PROJECT OVER 90 DAYS DURATION. <br />