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. PUB��c woRKs <br />" PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everetl, WA?82J1 <br />(425) 257-8810 <br />Tn uncTlW(; NOV h3 z�O� <br />ANDADDRESS:KIM SANG M ANDAD <br />8308 FREDERICK PL <br />iiUMONDS WA 98026 <br />Pt+oNe: ( 425 ) 771-6547 PHONE: <br />TAXPARCELI.D.M 132804 3 0�:g 000% PROJEC <br />Date <br />Public Works Pertnit M <br />Building Permit M <br />Plenning Reterence p <br />Publlc Works Fee $ <br />Guarantee S <br />2/24/2000 <br />PW0002-054 <br />�000z-0z8 <br />$ 45.00 <br />WESTERN PACIFIC TRUCK ; <br />8145 SE 82ND A�/E <br />PORTLAND OR 97266 <br />(503)788-0203 <br />9901 EVERGREEN WAY <br />DESCRIPTIONOF PLACE MODiJLAR BUILDING / Pave drive access <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />i. All calls for inspection shall be made 24 hours in advance - pnone (425) 257-8810 <br />2. All work shall be performed in accordance with this parmit and current City of Everetl Design and Consiruction <br />Standards a�d Specifications. <br />3. Call Location Underground Service 40 hrs. before you dig. TOLL FHEE NUMBER 1-800-424-5555 <br />4. Pave an asphalt apron for drive access off of 4th ave w. <br />(14' X 50' minimum) <br />/�cc-�SS /�-S <br />,�rOt r3�%� t�i9"El7 <br />�- i�-�6 -�o <br />`�, �j , 3-/-oD <br />Ap etl lor Consiruclion Date <br />FINAL INSPECT�ON <br />Approved as Conslructed Date <br />03-07-00 11:47AH <br />� 00020�8 <br />EUiL� 603.85 <br />SRCHG 4.50 <br />FLAN C1; q7.00 <br />a 4002054 <br />DRIVE 45.00 <br />TOTAL 700.35 <br />A OMb^c81 <br />W <br />� <br />V/ <br />W <br />� <br />� <br />Z <br />CHEF: 7�i5 <br />'�A <br />V+ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrees to holtl and <br />save harmless the Ciry of Evereri from any and all claims lor <br />damages, cosis, expenses, or causes of action that may arise <br />because of instaliation and maintenance ot the improvement or <br />other righFof•way use heret aoplied tor and further agrees to <br />remove same u om the City and to replace puhlic <br />prope t <br />3 %� <br />Sign ure licanl Dale <br />WORK AUTHORIZED BY THIS PERNIT MUST BE STARTEO WITHIN 180 DA'/S OF DATE PERMIT IS ISSUED ANL' THEREAFTER IS TO BE D!LIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF K'ORK ON 7HIS PROJECT OVER 90 DAYS DURATION. <br />