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�' � PUBLIC WORKS PERMIT . �ate: 4�5�Zo�o <br /> Public Works Permit#: PW1004-005 <br /> City of Everett Public Works Department <br /> f,,,`�,���� 3200 Cedar Street Buildinq Permit#; <br /> Everett, WA 98201 Planninq Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PETERSONJOHN <br /> 2123 HARRISON AVE <br /> EVERETT WA 98201 <br /> PHONE: 4252573264 PHONE: <br /> TAX PARCEL ID# 00377345601200 SITE ADDRESS: 2123 HARRISON AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW DRIVEWAY <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 the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Contact Public Works Inspector (call Randy Allen at 425-339-7403) to discuss potential drainage routing prior to w <br /> beginning the project. � <br /> 5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bale�; � <br /> swales, or erosion blankets. � <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. ' ` � <br /> 7. Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan#'s 305A & 3{�6 on t�is � <br /> proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or � <br /> damaged area must be replaced). � <br /> ,_ ; � <br /> `��� O <br /> �;;°i E--� <br /> i+;��:Y':F B d:�'h ' r/'� <br /> ���. _.. f'•..J Vl <br /> �:..7�:'].+ r� O <br /> r�,,+.�'�o-��„? .._. � <br /> i i <br /> F��c...-'� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> , damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> � ��� �� Yj� .-�(�' or other right-of-way use hereto applied for and further agrees <br /> ` �__ � , <br /> to remove same u pon notice from the Cit y and to re place <br /> AppF ed for Construction Date public prdp rty daa�ged thereby. <br /> �j - <br /> FINAL INSPECTION Date <br /> � .� � � _ _ � � � <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFrER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />