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�� <br />f <br />W� .. ,� <br />PtJBLIC 1NORiCS P�atMIT <br />City of Everett Public Works Deparlment <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)7_57-8810 <br />Date: 4/27/2015 <br />Public Works Permit #: PW1504-056 <br />Buildinq Permit#; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />MOM SAMITH MOM SAMITH <br />10104 27TH UR SE 10104 27TH DR SE <br />GVERCTT �/�/q g8208 EV[RETT WA 98208 <br />PHONE: 4253192708 PHONE: 4253192708 <br />TAX PARCEL ID # 00762300003000 SITE ADDRESS: 10104 27TH DR SE <br />DESCRIPTION OF PROPOSED WORK: <br />PAVE EXISTING GRAVEL DRIVEWAY <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance evith the permit and current City of Everett Design and Construction Scandards <br />and Specifications. <br />3. Call location Underground Service 48 hrs before you dig. TOLL FREE NUM6ER 811 _ <br />„ i.., t ;_� <br />� <br />�• _: i�i <br />Any damage to the City Sidewalk shall be replaced at the direction of the City Inspector. =; ; <br />t—� ,., <br />:1� i• -;: <br />Contact the City of Everett Public Works Inspector Cliff Lindman at 425-339-7269 prior to starting Conskuction. <br />�`; �-, <br />0 <br />Paved driveway to be a maximum of 20 feet wide. `�� <br />X� <br />�5.� <br />�..�� <br />f� �9 <br />�; � r J <br />:1��Lr1 <br />.� r...7 ,'c� <br />�, <br />� <br />-� � =i <br />�—� : i <br />i-.i <br />I -•' <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, expenses, or causes of action that may arise <br />because of installation and mainlenance of the improvemen� <br />or other right-of-v�ay use hereto applied for and furiher agrees <br />to remove same upon nofice from the City and to replace <br />public property damaged thereby. <br />�� ���� ��� g r.��f <br />Signature of Applicant Date <br />WORK AUTHORIZED E3Y THIS PERMff MUST BE SiARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS TG BE DILIGENTLY <br />PURSUED TO COMNLEi[ON. THIS P[RMIT h1AY 6E CANCELLED BY THE CITY UPON ANY STOPP �E OF WORk ON THIS PRO]EQ OVER 90 DAYS DURATION. <br />K/ <br />