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PUBLIC WORKS PERMIT Date: 4/18/2012 <br /> Public Works Permit#: PW1204-014 <br /> x.. City of Everett Public Works Department <br /> :.;SFT 3200 Cedar Street Building Permit#; <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> • <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HUMPHRIES JASON SAME <br /> 5929 DEXTER AVE. <br /> EVERETT WA 98203 <br /> PHONE: 2065516727 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 5929 DEXTER AVE. <br /> DESCRIPTION OF PROPOSED WORK: <br /> DRIVEWAY <br /> • <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. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> 5. The contractor must meet with the Public Works Inspector to discuss the project prior to beginin,g the project;=Cliff~ °I <br /> Lindman (425)339-7404. <br /> 6. Gravel access along south property line for rear yard parking is acceptable to"Traffic Engirjeermg-hUt paved <br /> driveway shall be located no closer than 10 feet to the south property line. <br /> F:-:. .. O <br /> %_ <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 /> ,r`' damages,costs,expenses, or causes of action that may arise <br /> AV► 44I because of installation and maintenance of the improvement <br /> �'J� , or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Ap t�-5 for •nstrU01- I=t: <br /> public property da -ged t reby. <br /> FINAL INSP ION Date <br /> Approved as Constructed Si net e`o p. icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF D E 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 />