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TYPE OR PRINT ONLY <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />�200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />� 2 A 2000 <br />TO POSTIPIG <br />� <br />Date <br />6-9-99 <br />Public Works Permit p � I/ <br />Building Permil s 62698 <br />Public VJarks Fee $ 7i�7 _ <br />Dave Madle (Castle Dwellers) 16825 W Lk Goodwin Rd Stanwood 98292 425-339-5786 <br />Owner Mailing Address City 'Lip Phono <br />Owner <br />Applicant Mailing Address Ciry Zip Phcno �� <br />Describe Proposed Work _ new auplex — <br />PROJECT ADDRESS (if known) <br />Lot <br />Attach four (4) co �ies plans br propoced work - Draw to scale and nolo tho lollowing if upplicable: <br />• Property Lini�s • Outlino end dimensions of all existing and proposed structures on lha lol • Ezisling and proposed utilitles <br />• Contedine ol strent • Indicate Nonh • Show any proposad grading changes • Show moasummems <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All catls tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with this permit and current City oi Everett Design and <br />Construction Standards and Specifications . <br />3. Call Location Underground Service 4B hrs. onfore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />L I)u� in Ihc pn•��roc;� nf i�rtland: at t6:� rrur of ihi, :il�• iin l:dl ;u� Uis��rr,ion Iruch buih a� ��:r <br />`,cclion ;-'.u.' aud I ieum ;�? aud'1'aLla i-?.3 of 16r rii� ';tuin�watrr M.inacemcnt �\(anual <br />(c,�p)' �lapl�•d !o Il�is pri7nit 1. Ui:persiou svsl::u�s should l,o Lacklillec! lo Uie �arfacc uilli crr., � <br />lo rdlo�vtorovertlo�+. t'ali I':ihlic Work�; Coi tm iurpection ��rior to eoeeriuq tr�nclirs. "ll�e <br />�li�i�rr..iuu scst;w �h;ill bc luc al: d ulouc Ih� :de: of Ilir ��:I I;md lmll',�r. ���ith �i iu inwnmi li�fl <br />,�l�:�cl; fioni I,ni'dine I'uinid,dion <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersignr�l �wner�applirant hereLy agreas to hold end save harmless <br />tho Ciry ol Evor_:: rcom aiy and all s lor Aamages, costs, expenses, or <br />causes tion t m�y srise caus ol InsWlletion and maintonance al tha <br />imp emen r righ4oi � y uso aroto applied for and further egrees to <br />r ove sam upo otice fyo the C' and to replaai pubiic property dam- <br />VYORK AUiHOR�D BY THIS PERMR MUST BE 5TARfED WITHIN 1B0 DAYS OF DATE PERMR IS ISSIdED ANC THEREAFfER IS TO BE DILIGENfLY PURSUED TO <br />COMPltZ10N. TH1S PERMR MAY BE CNJCELLED BY THE CfTY UPON ANY STOPF'AGE OF WORK or7 h11S PROJECT OVER 90 DAYS WRA770N, <br />