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, -- - <br /> s e� �'OSTING _ / <br /> � APPlication For <br /> PUBLIC WORKS PERMIT Daie 7-17-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit A /� ��� <br /> 3200 Cedar Street <br /> Everetl,WA 98201 259-8810 Building Permit# 52318 <br /> NPE OR PRINT ONLY ^ <br /> Pub�ic Works Fee$ <br /> 730 <br /> Timothy Snyder � Crown Dr Everett 98203 259-0759 <br /> Owner Mailing Address City 2ip Phone <br /> Owner <br /> Appilcant Mailing Address City Zip Phone <br /> De�cribe Proposed Work new garage � <br /> � <br /> �,A <br /> V♦ <br /> PROJECT ADDRESS(if known) �� �� Crown Dr � <br /> Apach four(4)copies of plans for proposed work-Draw lo scale and nole the following if applicable: O <br /> •Property Lines 'Outline and dimensions ot all existing and proposed siructures on the lot •Existing and proposed utilities <br /> �Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance - phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> V♦ <br /> O <br /> a <br /> �76/06/96 1:C�F� �40R�7�p Kkt:� <br /> / <br /> NOOD52:18 <br /> ELDG i222.Cq <br /> PLEG 44�.Q0 <br /> MECN �15.00 <br /> SF.CHRG 9�4.50 <br /> DRIV�V 3�D.Q0 <br /> PLFI CH 5144.30 <br /> HOQ05�314 <br /> n ELEC 3'�5.00 <br /> �(� CHECf; 448'�.BD <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> the City of Everett from any and all claims for damages,costs,ezpenses,or <br /> Approved lor Constru i0 Date causes of action that may arise because of installation and maintenance of <br /> �. � theimprovementoyotherrighhof-wayuseheretoappliedforandfuAheragrees <br /> � to remove same pon notice from the City and to replace public property <br /> �=�-�: � /���,�!'�/ da ged thereby <br /> G <br /> FI S EC7 ON Date <br /> Approved as Constructed n <br /> Sig a u of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 UAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAV BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />