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f�� : <br />i. <br />, �7r',ii;�UU' <br />PUBLIC WOR�3(S r�?MIT <br />City oF Everelt Public �Vorks Department <br />37J0 Cedar Streel <br />E• ereR, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit #: <br />6uilding Permit #; <br />Planning Reference #: <br />Public Works Fee S <br />(�ther S <br />OWNER NAME AND ADDRE�S: APPLICANT NAME AP'D ADDRESS: <br />MIKE SHORT SAME <br />1923-33rd STREET <br />EVERETT WA 98201 <br />PHONE: n254788017 PHONE: <br />TAX PARCEL ID # SITE ADDRESS: 1923 33rd STREET <br />DESCRIPTION OF PROPOSED WORK: <br />DRIVEWAY CUT <br />(11/30/2012 9:14 AM BES) <br />INSTAI� A DRIVEWAY CUT AND PAVE BEFI!ND THE SIDEWFlLK <br />�'3 j ��Cilewt) � Don,� <br />1 1/30/2012 <br />P W 1211-042 <br />S 25.00 <br />PERMIT CONDITiONS <br />1. All calis for inspechon shall be made 24 hours in advance. <br />2. All work shall be periormed in accordanr.e with Ihe perni( and currF nt City oF Everett Desinn and Construction S!andzrds <br />and Specifications. <br />3. Call Location Underground Service 48 hrs be`ore you dig TOLL FREE NUMBER 811 ,— <br />4. ;��"�� "��'� ttl` - ' <br />5. iNAXIfv1UM DRIVEWAY WIDTH SHALL BE 20 FEET. J � �.; <br />AND Al' LEAST 5 FEET SOUTH OF TH[ NORTH PROPERTY LINE. <br />6. CONTACT CITY OF EVC-RETT INSPECTOR RANDY ALLEN (425)339-7403 PRIOR TO CONSTRUCTION, <br />z <br />,; <br />- �; ;:; <br />; _: <br />� <br />;; <br />p <br />O <br />� <br />O <br />H <br />� <br />� <br />r=+ <br />ACKNOWLEDGEf�1ENT OF CONDITfONS <br />The undersigned owner/applicant hereby agrees to f�.old and <br />save harmless the Cily of EvereU (rom any and all cl �ims for <br />damages, costs, expenses, or causes ot action thc� may arise <br />because of inst�llation and maintenance ol lhe improvement <br />or o(her right-of-way use herelo applied for and furiher agrees <br />lo remove same upon notice from Ihe Cdy and to replace <br />public property damaged 1 �ere y. <br />�'��.�,������,, 1/-�� --1� <br />SignaWre of Applicarit u Date <br />WORK AUTHORIZED BY THIS PERh1IT f9U5T BE STAR7ED VJITHIN 180 UAYS OF DATE PERPIIT IS IS�UE� AND THEkcAFTER IS TO BE DiLIGENTLY <br />�. — <br />