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FEB <br />l u POSTING --- 02 2,OOt <br />5-26-99 <br />N <br />Applicatien For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />C <br />i to <br />ubill; Works Permit # <br />Building Permit # 62579 <br />TYPE OR PRINT ONLY Kj <br />Pup)ic Works Fee $ <br />...o o rn m r.:.-a ri :� _._ .g ca -. <br />_ North Crest Development PO Box 340 Edmonds WA 9`8202 A25-774-3181 <br />Owner Mailing�ddress City �c h ..,Zio Phone <br />.Y- O 00 ca l,t tY W . r <br />Owner ' �'�" '`— o <br />Applicant Madmg Address o- cn o Glly3 r-ZIP Phone <br />Describe Proposed Work new house Uj <br />V / <br />PROJECT ADDRESS (if known) 4606 21st Dr W Lot 8 Bush Gardens W <br />O <br />Attach four (4) copies plans for proposed work - Draw to scale and note the following if applicable: <br />• Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilitic� <br />• Contedine of street • Indicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW TI S LINE <br />PERMIT CONDITIONS: O <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and ■ <br />Construction Standards and Specifications. _ r <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ♦A <br />d. Keep city streets cleart at all limes. O <br />5. Curb gutter and sidewalk in the plat are new and undamaged, arty damage thereto shall be replaerd al the <br />discretion of the Public Works Inspector. a <br />6. ArTy change in the driveway cut must bi. approval by the FW inspeclor - width at prop line lirrlited to <br />existing apron width. <br />7. Adjust water boxes to gl do at end of construction. <br />B. Driveways shall be completely cured before driving on them. <br />9. Rooflop drainage shall be discharged to stornn drain stub provider) to lot. <br />G Jt- 28 <br />pp ve or ons ru n// ✓ e <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of the <br />improvement or other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public property dam. <br />aged thereby. <br />;)gnat j� e�— & L zbi <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STAR--D wrrHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />