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PUBLIC WORKS PERMIT Date: 8/17/2009 <br /> Public Works Permit#: PW0908-038 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; • <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BRANDENBURGER TRAPPER L <br /> 1624 PINE ST <br /> EVERETT WA 98201 <br /> PHONE: 4252395572 PHONE: <br /> TAX PARCEL ID# 00605400300700 SITE ADDRESS: 1624 PINE ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> INSTALL DRIVEWAY AND ACCESS FROM PINE ST <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. The driveway for 1624 Pine St will need a combined approach with 1620 Pine St since the driveways will be so <br /> close together ,44.4 <br /> • <br /> 5. All work, including the apron, must be done by the applicant ; _ <br /> 0A <br /> m <br /> Call inspector Randy Allen at 425-339-7403 for a consultation before beginning work. r <br /> F:•!1 n,j T7 9 ` <br /> 410 <br /> 0c} F24 E41.1 <br /> cyO <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 /> • of or other right-of-way use hereto applied for and further agrees <br /> ./� to remove same upon notice from the City a -place <br /> A. oved for Construction Date public property damaged thereb <br /> ///l/FINAL INSPECTION Date . � f_ 9 <br /> Approved as ConstructedSig 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 />