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'/�/�r.1� . <br />'I�►,. <br />TYPE" OR PRINT ONLY <br />North Crest <br />Owner <br />Applkation For <br />PUBLIC WORKS PERMIT <br />PUBi.IC WOFKS DEPARTMENT <br />3200 Cedar Streel <br />Everep, WA 98201 (425) 257-8810 <br />TO POSTING �e�-s-�aa- <br />it PO Box 340 Edmonda <br />Malling Address Ciry <br />/� <br />Date 5-26-99 <br />Pubiic Works Permit M ��� <br />Building Permit # 62582 _ <br />Public Works Fee $ � <br />425-774-3181 <br />Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work new house <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies plans for proposed work - Draw to scale and nole the following if applicable: <br />• Property Linus • Outline and dimensions ol all existing and proposed structures on the lot • Existing arxl proposed utilities <br />• Centen��e of street • hWi��. :a NOM • Show any proposed grading changes • Show measuraments � <br />DO NOT WRITE BELOW THIS LINE � - <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall 6e made 24 hours in advance - phone (425) 257-8810 <br />2. AII work shall be performed in acco•dance with ihis permit and current Ciry cf EvereH Design and <br />Construction Standards : nd Specifications. , <br />3. Cali Location Undergrc � id Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555: ' <br />� Kcep city srrccts ctcan at all �iincs, <br />". Ciirb gufl�r .Lid side�a�lk in lii� pi;d ar� n�w ;uicf und;m�aged. an}' ctam,iee Iherzto ;liall bc replaeed at th�: <br />discrctiou of Ilic Pub(ic `,�orks L�spcctor. <br />� ,1rry cl��n�e in Ui� drivz;v;ry cut must be approved by tlis PW G�spector •�eidth al prop lin;. litnilyd fo <br />exisli��k aprou u�idt�i. <br />' ldjust waler boxcs to E�rede a� end of constniclion. <br />S. f�r.vcwats shall bc co�npletelv cured belore dm�it g oi� tl�em. <br />`�. r:�on�.p dr,,in;���: ;haU b: eli.cl�arE�eJ ��, >loim dr,i�n slab provided lo lot. <br />W <br />� <br />� <br />V / <br />� <br />O <br />� <br />Y/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignod ownedapplkant hereby agrees to hoW and save harmless <br />Ihe Ciry of Everott from any and ell claims for damages, costa, expenses, or <br />wuses of action that may arise because of Inslailation and maintenance of the <br />improvement or other right�of•way use herelo epplied tor and further agrees to <br />remove same upon notice from the City and to replace public prope dam- <br />aged leby <br />� �� �� <br />gna ure o pp ican a e <br />'NORK AUhpR�D BY THIS PERMR MUSTBE STAHfID NrtTHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND hIEREP}iEA S TD BE DLIGENILY PURSUm TO <br />OOMPLETKIN. THIS PERMR MAY BE GVJCELLED BY7FE CRY UPON ANY STOPPAGE OF WORI( IXJ 7HS PH(7�ECTOVER 90 DAYS WRATpN, <br />