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� <br />PUBLIC WORKS PERMIT Date: 9I10I2012 <br />'� City of Everett Pubhc Works Department Public Works Permit #: PW1209-004 <br />�����i� .,. 32C� Cedar Streec Buildinp Permit #; C1208-035^ <br />Q"���'���°'� Eve�ett, WA 98201 <br />Planninp Reference #. <br />�� (4?5) 257-it810 <br />Public Works Fee $: S 25.00 <br />Other $: <br />I OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />Dl'NASTY HOMFS INC <br />PO 80X 716 <br />FVEREIT WA 98208 <br />PHONE: 4254221668 <br />AX PARCELID # 00394900001600 <br />DESCRIPTION OF PROPOSED WORK: <br />DRIVEWAY FOR NEbVSFR <br />PHONE: <br />SITE ADDRESS: afX 98TH PL <br />PEI?MIT CO�JDITIONS <br />1. All catls for inspection shall he made 24 hours in advance, <br />2 All work shall be performed in accordance with the permil and current City of Everetl Design and Construction Standards <br />and Speci(ications. <br />3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 _ � <br />4. Per approved plan <br />5 Install erosion control measures as determined by Ihe public Works inspector such as silt �ence, straW bales, <br />swates, or erosion blankets .. ' " " � <br />G Pave to exisling paving in plley �� � �i - <br />Your Public Works Inspector is CIiH Lindman Call him a! d25-339-7404 f0i questions and inspectioos <br />w <br />F' <br />�', <br />, <br />rV: M. N M N� � F! <br />:'� �"+ �w %._ t.. r � ; w <br />k�' � �N��YriF:k.�� . wllr"r�—'�,� n <br />� ,� ��� x� y = ��� " ra��� <br />�,� � - � 5., y?• ' r - �r. -��- ' <br />T' . . . . ., r ._ _ � .� ._, . ... <br />TO POSTING y" ��^ � y <br />���, ' �---�=-/ � •. z- <br />Approved for C. onstruction Date <br />a� Constructed <br />ac�"`=--T'"/ <br />Date _ <br />i <br />ACKNOVJIEDGFMENT OP CONDITIONS <br />The undersigned owner/epplicant hereby agrees lo hold a�d <br />save hermless Ihe City of EvereO from any end all claims foi <br />dameges, costs, expensas, or causes of ac�ion Ihel may arise <br />because of instellation and mainlenance of Ihe impi: a�mvnl <br />or other right-of- use herelo applied lor end turther a�r�es <br />remov sa e upo nolice Irom Ihe Cdy and lo replacr <br />public p ty dam ed thereby. <br />of Applicent <br />Dale <br />U� <br />WORK AUTfiORIZ:D BY THIS PERMIT PiUST AE STARTED WIIIIIN IBO DAYS OF DATE PFRMR IS ISSUED AND THEREAFfER IS TO 6E DILIGENTLY <br />PURSUED TC �GMPLETION. iH15 PERh1IT I•1AY �E CANCEI.LCD BY 1"HE CITY UFON ANY STOPPAGE OF WORK ON THIS PROIECT OVER 90 DAYS DURATION. <br />