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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />OL 3200 Cedar Street <br />Everett, 5WA 98201 <br />(425Yn7-1bSTING IAN 17 200E <br />Or. Mitch Nelson <br />602 931d St SW <br />EVERETT WA <br />PHONE <br />Date 11/26/2001 <br />Public Works Permit anW0111-030 <br />Building Permit 4 <br />Planning Reference x <br />Public Works Fee E $25. 00 <br />Guarantee 3 <br />AND On SSM�"Ic . Lat:dsr_ ape Mairit <br />9931 18th Ave W #29 <br />98204 EVERETT WA 98264 <br />PHONE: ( 425) 290-7911 <br />TAX PARCEL LD.0 I PROJECT ADDRESS: 602 93rd St SW I <br />PROPOSED OWNOORPKNew CB & Repave existing driveway <br />PW <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 hours in advance - phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hire. before you dig. TOLL FREE NUMBER 1.800-424-5555 <br />�• COOrL{l ^ �-� r�Br � rr/ i 'l1i D v b fiG lva,�' t s i �s�Gi7n� <br />— Con I I .► 33,1 — 710 + <br />pmved for onelrutlant Date <br />- /-7-az <br />FINAL INSPECTION <br />Approver! as Constructed Date <br />11 26-01 10:57AM <br />0 11.1030 <br />DRIVE 25.00 <br />TOTAL 25.00 <br />A OM5722 <br />CHEF "Z <br />'.rr <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless the City of Everett Iron any and all claims for <br />damages. costs, expenses, or causes of action that may arse <br />because of installation and maintenance of the improvement or <br />other fight -of -way use hereto applied for and further agrees to <br />remove sarqj upon notice frornthfa City and to replace public <br />Z <br />aged thereby J / <br />and Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />