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t � v <br /> Date 04/30/n07 <br /> 07 <br /> ILIO A <br /> Public Works Permit#WORKS =g61 <br /> PERMIT <br /> Building Permit# <br /> PUBLIC WORKS DEPARTMENT r e <br /> •= 3200 Cedar Street Planning Reference# <br /> Everett,WA 98201 <br /> (425)257-8810 Public Works Fee$ 0,ft ft <br /> Guarantee$ <br /> OWNER NAME' APPLICANT NAME <br /> AND ADDRESS: MITCHELL KELLY A AND ADDRESS: <br /> 3519 25TH ST <br /> EVERETT WA 98201 <br /> PHONE: 4252524496 PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> 00516853403001 3519 25TH ST <br /> DESCRIPTION OF <br /> .PROPOSED WORK: INSTALL 10/ DRIVEWAY IN BACK <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <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 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 W <br /> 4. Install concrete driveway Type 3 per COE detail 309. ff <br /> 5. Remove and replace existing broken or damaged curb/gutter and sidewalk. _ <br /> 6. Keep sidewalks and roadway clear for travel. <br /> 7. Traffic control as necessary per current MUTCD Standards. <br /> 8. Meet with Public Works Inspector on site before beginning work. <br /> Inspector is Randy - 425_339_7403a <br /> 0 <br /> I <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> Al" ,� 7 save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> Approved r ns� Date because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Approved as Constructed Datee4;,.t , <br />• <br /> 5 11 1-.07 <br /> ''- Signat of A plicant Date <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 /> 7/0fj) <br /> EPWP( DATABAR,INC. <br /> r ' <br />