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I <br /> � -- PUBLIC WORKS PERMIT Date: 5/1I2012 <br /> ! Ciry of Everetf Public Works Depariment��� l�i�i7 Public Works Permit #: PW1205-001 <br /> ,� "� 3200 Cedar Streetc6-� �i]5''Ji Buildinp Permit #; <br /> �'�'�`'!'� Everett, WA 98201 �! � <br /> � (425);257,-88J.OG�!� Planninq Reference #: <br /> Public Works Fee $: $ 25.00 <br /> 1 [�.;I'��E �::�.�ii� Other 5: <br /> ,� r',�- :„� <br /> OWNER NAME AND ADDRESS: (�H�;I% APP,LICANT NAME AND ADDRESS: <br /> RICHARD INGERSOLL SAME <br /> 4715-5th A'JE WEST <br /> EVERETT WA 98203 <br /> PHONE: 4252521403 PHONE: <br /> TA;;PARCEI_ID# S�TE ADDRESS: 4715 5th AVENUE WEST <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW DRIVEWAY <br /> (5/1l2012 1:58 PM BES) <br /> REMOVE OLD AND REPLACE- BY NEW(CONCRETE) DRIVEWAY <br /> PERMIT CONDITIONS <br /> 1 All calls for inspection s�all 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 be(ore you dig TOLL FREE NUMBER 811 <br /> 4 Remove existing driveway and install new driveway per City of Everett standard drawing#308. <br /> 6 fvtaximium widtn of driveway should not be more than 20 (eet. <br /> 7. No dirt, mud, rocks or debris to tracked onto roadway. W <br /> 8. The contractor must meet Randy Allen (425)339-7403 � <br /> U� <br /> � <br /> � <br /> h <br /> Z <br /> '� � <br /> � •, �c; Y��� � <br /> � <br /> �� � ��,�e � O <br /> ��.i �� �p�1 a <br /> ACKNOWLEDGEMENT OP CONDITIONS <br /> The undersigned ownerlappticant hereby agrees to hold and <br /> save harmless the City of Everett Irom any and.all claims for <br /> damages, costs, expenses, or causes of action lhat may arise <br /> hecause o(installation and maintenance of the improvernenl <br /> � S � � or other riglit-o6way use hereto applied for and further agrees <br /> ro ed for Cons u ion ate �o remove same upon nolice from the Gry and to replace <br /> / pub6c property damaged thereby. <br /> IFINAL INSPECTION Date �L( �� �'��� �� ��� <br /> Approved as Constructed Signature of ApplicaM Dale <br /> INORK AUTf10RIZED BY THIS PERh11T I•1U5T�E STARTED\4�ITHItQ 180 DAYS OF DATE P[RMiT IS ISSUED AND THER[AFTER IS TO�E DILIGENTLY <br /> PURSl1ED TO COi�1PLETION. l HIS PER6IIT I•tAY BE G1NC[LLLD BY THE CITY UPOP!ANY STOPPAG[OF l4�ORK OP!THIS PRO]ECI�OVER 90 DAYS DURATION. <br />