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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />;; � � 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />BRANDTJOANNE <br />1503 50TH <br />EVERETT WA 98203 <br />PHONE: <br />AX PARCELID # 00386300000300 <br />DESCRIPTION OF PROPOSED WORK: <br />REPLACE CONCRETE DRIVEWAY <br />Date: <br />Public Works Permit #: <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />BJELLA TIM <br />3120 HEWITT AVE <br />EVERETT WA 98201 <br />PHONE: 4257542823 <br />SITE ADDRESS: 1503 50TH S'( SE <br />11/19/2012 � <br />pW1211-023 <br />$ 25.00 <br />PERMIT CONDITIONS <br />1. All calis for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. No expansion of existing driveway width. <br />Your Public Works Inspector is Randy Alien. Call him at 425-339-7403 for questions and inspections � <br />�; � =+ - <br />= ,,; <br />-/ z_ <br />/2�--jz_ <br />Date <br />as Constructed <br />-�; <br />' -j <br />, <br />'c� <br />ir, <br />_i <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City ot Evereri from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of instailation and maintenance of the improvement <br />or other right-of-way use hereto applied tor and further agrees <br />ro remuve same upon nolice from the Cily and ro replace <br />public property damaged thereby. <br />����%i - /�-7 /-/ Z <br />Signature oi Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE SfARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTIY <br />PURSUED TO COMPLEfION. THIS PERMIT MAY 6E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />