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PUBLIC WORKS PERMIT Date: 10/15/2014Public Works Permit#: PW1410-020 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 45.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MICHAEL RUCKER SAME <br /> 1425 MADRONA AVE <br /> EVERETT WA 98203 <br /> PHONE: 2068187148 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 1425 MADRONA AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> REPLACE EXISTING DRIVEWAY <br /> (10/15/2014 10:38 AM BES) <br /> REPLACE EXISTING DRIVEWAY AS IS <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. Replace existing driveway as is only, doesn't involve drainage work. Surface water from driveway shall not drain <br /> onto neighboors property. <br /> 5. Driveway shall be per City of Everett standards ' w <br /> 6. Contact the Randy Allen 425-339-7403 City of Everett Inspector <br /> prior to starting construction. <br /> o <br /> o <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 /> mt. �•� ,' / ('//ç/ ,, or other right-of-way use hereto applied for and further agrees <br /> T to remove same upon notice from the City and to replace <br /> pp o ed for Constructi•I Date public property damaged thereby. <br /> FINAL INSPECTION Date p /1 <br /> Z,k 444_ <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 THEREAFTER 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 /> Pw <br />