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� �� <br /> PUBLIC WORKS PERMIT Date: 1 016 <br /> Public Works Permit#: PW1610-016 <br /> City of Everett Public Works Department <br /> �,� �� 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SMITH PAUL SMITH PAUL <br /> 2317 LOWELL RD 2317 LOWELL RD <br /> EVERETT �/�/q 98203 EVERETT Wq 98203 <br /> PHONE: 4259719691 PHONE: 4259719691 <br /> TAX PARCEL ID# SITE ADDRESS: 2317 LOWELL RD <br /> WIDEN EXISTING DRIVEWAY TO 20FT <br /> PERMIT CONDITIONS <br /> 1. All calis 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 /> .�,:, <br /> 4. Proposed driveway area must be paved with asphalt. Minimun of 2" of class B or HMA � "' <br /> with a gravel base. ,:,w�r` �'-' n'=+ w <br /> -r> --+.-�',—�r-i ,.� � <br /> -= - i�n �, r.. <br /> 5. The owner/contractor must meet with the Public Works Inspector to discuss this work � � <br /> prior to beginning the project. Call Randy Allen at 425-339-7403. ,:;i= � <br /> 6. Work to be done as noted on drawing appproved on 10/13/2016. (see attached) '� � <br /> icl•'i �i:=' O <br /> iu^�� __i: <br /> i_.., � <br /> .y�;�d �1�"t i;1=4 i�t <br /> ��-. 4•.���•�._�r•.� <br /> -n �% ' -y -� - � <br /> � „m o 0 <br /> � <br /> _.-, '"�°,' .." _' - <br /> ';_.,.{-�'_i, � <br /> Public Works Permit Fee Breakdown: � <br /> Misc. Minor Permits (Drainage Work).............$25.00 O <br /> PW Plan Review..............................................$20.00 <br /> PW Site Inspection...........................................$20.00 �I <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> e City of Everett from any and all claims for damages,costs,expenses,or <br /> �` �� ���d� -��� causes of action that may arise because of installation and maintenance of the <br /> Ap ved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upo notice from the City and to replace public property <br /> damaged there,b". ,i <br /> / <br /> FINAL INSPECTION Date C� /� z-=��� <br /> Approved as Constructed Signature of Applicant Date <br /> �ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> 'RSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY S OPPAGE OF WORK_ ON THIS PROJECT OVER 90 DAYS DURATION. <br /> � <br />