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PUBLIC WORKS PERMIT Dale: 1116I2013 <br /> Public Works Permit#: PW1301-012 <br /> City of Fverett Public Works Departmenl gUjldinp Permit#; C1301-011 <br /> yr� a 3200 Cedar Street <br /> �., ��� ' ��' '' `` Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$ 5 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPI.ICANT NAME AND ADDRESS: <br /> ADAIR ENTERPRISES LLC <br /> 15922 EAST SHORE DR <br /> LYNNWOOD WA 98087 <br /> PHONE: 4257431718 PHONE: <br /> TAX PARCEL ID# 0055240060C SITE ADDRESS: 1508 100TH ST SW <br /> UESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY FOR NEW HOUS[ <br /> f'[RMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2 All work shall be performed in accordance with the permit and current Cily of Everett Design and Cor>iruction Standards <br /> and Specifications __ <br /> 3 CaV Location Underground Service 48 hrs before you dig TOLI FREE NUMBER 811 — <br /> 4 Per approved drainage plan dated 11 8 12. <br /> Your Public Works Insp^ctor is Cliff I mdmnn Ca;l hun al 425-339-7404 for questions and inspectlons � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> 7 <br /> O <br /> �� 'OSTING `rl � ' � o <br /> a <br /> ACKN0INLF-DGEMENT O�- CONOf�IONS <br /> The undersigned uwner/appiicanl hereby agrees�o hold and <br /> ___ save harrn�ess lhe City of[verelt from any and all rlaims for <br /> damages,wsts,eKpenses, or causes oi action thet may arise <br /> i � because ot installalion and malntenance of the imprnvemenl <br /> �j �� j/6./� or olher righ�-ot-way use herelo applied lo� end further agrees <br /> _�l� J� � - to remove same upon notice from the City and to replace <br /> �pproved for ConstruClion Date public property damaged thereby. <br /> .✓�/ � =-��=J � - �, I <br /> f IN�.+ CTION � Date , �� � �� ' 1-'�` � ��—� ( � ` I 3_ <br /> Approved as Construcled �'��' ��� SignaWre ofApplicant Dete <br /> 17�;RK AUiHOR17CU HY fH15 PPRt41T MUST BE STARTED WITHIN IBU DAVS OF DATf PERMIT IS ISSU[D AND THCR[AFTER IS TO BE DILIGENTLY <br /> PUIt;UI D 10 t OFIPI f I IOPl. 111I5 Pf Hht1T MAY f3E(i1NCf_I LEU�Y TI�E CIIY UPON ANV STOPPAGE OF Y/ORK ON THIS PRO]ECi OVER 90 DAVS DUMTION. <br />