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Date 3/17/95 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />' � �'�'05TING x � <br />c. <br />PE R 11�:� T <br />., <br />��� r,� r_� r r'� n r-i <br />r�n�, i_� �. �r� <br />`r.'i m rn r.'i r�. , -� <br />C] . i r.�O _ � e i�1 <br />- :il ef M. Y! �R <br />Oakcrest Hones Inc 13712 64th Dr SE <br />Owner <br />Mailing Address <br />ioiE3sh 98290 <br />� i�- Cily cL _- <br />� 't <br />c'� �v co'•. r�� i: � <br />Ci r] i0 Lt f.l Ll '� <br />r l- �' 1 l.J .. I- ir: <br />=�e c :_ �r r.� u5 r.i <br />l:ny <br />� blm ;Vprk3 PC�mit • 9S 38 / <br />B�tlB�eot� 47�]� <br />Puobc Worxs Fee <br />TotatFee S <br />Less Ropl Fee Pa�d S <br />ci e#�3^fo OW 5� r <br />4:� O �] . <br />�_� f� T (ll <br />�i tR r-I . <br />M C.: <br />� 332-1229' <br />rii 2ipc, n Phone <br />� �i [ii;� �,iri <br />01-o..t`nw <br />o �� n i, i c.. .-,.-. <br />Y 3 'C f:� [O i . <br />ZiP Phone , _ , <br />� <br />Describe Proposed Work New house - Basic 289 (w/3 car garage) <br />Prolect Add�ess (if known) <br />A!;ach �our (4) copies ol plans for proposed work - Draw lo scale and note the following �s applicable: <br />• Property Lines <br />• C utline and dimensions of all existing antl <br />proposed strudures on the lol <br />• Ezisting and proposed utilities <br />• Cenlerline of street <br />• Indicate Norlh <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONLITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8610. <br />2. All work shall be performed in accordance with this permit and current City ol Everett Design and Conslructlon <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />!. �nstall reck con�Miction entrancc bchuid drive�!�;it� a: pc� citt• �ividard y203 a�id cresion control as cGrrcted t <br />Public 1L'orks lnspector. <br />�. lk.�p ciry strcc�s clr.an at all tuncs. <br />6. Curb cut�cr and eidewalk in Ihe plat �re ne�v �ud und;miarcd. ;mp dmn,�ge therelo shall bc repLiced at ihe <br />disc�eliou of Ihc I'uLlic R'oiks fuspcc(m. <br />'. .1nv chan�c in tlre dtive�t�ap c:it musl bc approved by the F1V lnspeclor. nidih al prop loie Gmitcd to cxisting <br />;iprou w�cltli. <br />S. Curb lace draius or uther stoim c6air ;hibs hace been pro��id;d lo eadi lot u� ILe plat for ll�e conn��tion oP <br />roeflcp downspouls. <br />ti� <br />iF <br />�l /l ( �Z3 �� <br />ApP oved for CansVuction .,te <br />� ��G i' <br />_1�/�-� S-� -5'�� <br />FINAL INSPECTIOIJ Date I <br />Approved as Construdad <br />�� % pUBLIC WORKS DEPARTMENT <br />��3200 Cedar Street <br />Everett, WA 98201 <br />Phone�259•8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />� <br />/�� <br />V♦ <br />O <br />a <br />The undersigned cwner,�apFlicant hereby agrees to hold and save han:,� <br />less the Cay ol Evere�l Irom any and all claims lor damages, cosls, <br />expenses. or causes ol action that may arise because of installation <br />a�d maintenance ol the improvemerr or other right�of�way use hereto <br />'.:ed for and lunher agrees to remove same upon notice Irom the <br />� and to replace public property damagetl Ihereby. <br />�.�-� � �/ <br />�`_ Y —/� �-/ 7: <br />Signatuie ol Applicant Date <br />WORK AUTNORI7.ED BY THIS PERMIf MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGtNTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED 81' THE CITY UPON ANY STOPPr�GE OF WORK ON i1i15 <br />PROJECT OVER 90 DAYS DURATION. <br />