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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />,425,257�A1°POSTING JAN <br />Date <br />Public Works Permit N <br />Building Permit M <br />Planning Reference N <br />Public Works Fee $ <br />Guarantee $ <br />APPLICANT NAME <br />°IwoAODREss: GENNARD SIEVE & PAULETTE AND ADDRESS. <br />116 SYDNEY LN <br />EVERETT WA 98203 <br />PHONE: ( 425) 353-7161 PHONE: <br />TAX PARCEL I.D.M 0061-00000720005 PROJECT ADDRESS: 116 SYDNEY LN <br />DESCRIPTION OF <br />ROPOSEDWORK: LIVING, SHOP AND GARAGE ADDITION <br />PW <br />PERMIT CONDITIONS <br />4/9/01 <br />PWO104-013 <br />C0104-002 <br />$25.00 <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 <br />1-800424-5555 <br />U`j <br />4. Remove existing driveway. <br />5. Pave new driveway from the existing edge of <br />to the <br />pavement <br />property = <br />C 11ne ( approx. 12' ). <br />') <br />L¢t<i�zr f�pl / 61 <br />d4-23-01 <br />0104002 <br />1a- <br />SUILG <br />312.14 <br />SRCHG <br />4150 <br />0 <br />PLUMB <br />28.00 <br />MECH <br />30.00 <br />Z <br />DRIVE <br />TQTA- <br />25.00 <br />399.64 <br />O <br />A OM2376 <br />A <br />O <br />IL <br />0— <br />App ve f r C 51nrtlw b;�—o <br />2 <br />FINAL INSPECTION <br />Approved as Constructed Dale <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, eK ses, or causes of action that may arise <br />bee stal on a d maintenance of the improvement or <br />other right- use h eto applied for and further agrees to <br />remove me u notice from the City and to replace public <br />Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />