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Date 5/26/93 <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />Pi int or Type Oniy <br />i <br />Publ¢ Wark! PmmO � �� �,_j�(�/ <br />eieg. oeo� • _ <br />Pubh: Worwg Fea <br />Tolal (na <br />Less ADOL Fee Pa�J $ ^7 <br />6alance0ue $ !_Ct�� <br />%OZ- ?ZZ �U // �3 / <br />North Crest Dev Corp 16212 BotBell [•'y SE I'129 Ati�l Creek 98012 338-:486 <br />Owner MaihngAddress City 7_ip Phone <br />Rick Kleui <br />Applicant <br />Describe Proposed Work <br />Proiect Add�ess �if known� <br />same as above <br />A"ailmg Address <br />Cily <br />Phone <br />Access permit for access to Lot 20 Plat of Hollowdale Ct <br />1611 Hollowdale P1 <br />�lttnch fow 14) copies of plans lor proposed v:ork • Draw to scale and note the following aS.lpPlir�ble: <br />• Prcperty Lines • Centerlme ut c��eet <br />• Outline and dimensions of all existing anA • Indicate North <br />propesed siruc!ures on ihe bt • Show any proposetl gradin� chanyes <br />• Existiny and proposed u�llities • Show measu�ements <br />LI <br />PEFiMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in ade�ance - phone 259•8810. <br />2. All work shall be pedormed in accordance with this permil and current City ol Everett Design antl Consirur,tion <br />Standards and Specilications. <br />3. Call Location Under9round Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />`��} PUBLIC WORKS DEPARTMENT <br />��6��� 320G Cedar Stieet <br />��r EveretL WA 98201 <br />Phono:259�8810 <br />ACKNOWLEDGGMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The unders�gned ov+ner/applicant hereby aprces to hold and save harnr <br />less thc Cdy ol Everett lrom any and all claims lor damages. costs. <br />expenses, or causes ot action that may anse because of installation <br />and mamtenance of thc improvement or other righPof�way use hereto <br />applieA tor and lurther agrees to remove same upon noGce Irom Ihe <br />City and to replace public properry damaged thereby. <br />�`� �_---_ G �� � <br />SionaWie ol ApplicaN ale <br />WORK AUTHOFIZED 9Y THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE �ILIGENT�Y PURSUED TO CGMPLETION. THIS PERMIT MAY BE <br />CANCELLED 81' THE CITY UPON ANY STOPPAGE OF WORK ON TH�S <br />PROJECT OVER 90 DAYS DURATION. <br />