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TYPE OR PRINT ONLY <br />Applitation For <br />PUBLI� WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 (4?�7�861Q___ <br />2� LU� <br />?� POSTING <br />Date 5-26-99 � <br />Public Works Permit # � <br />Building Permit ri 62580 <br />Public Works Fee $ � <br />North Crest Development PO Box 340 Edmonda WA 98202 425-774-3181 <br />Owner Mailing Address Ciry Zip Phone <br />Owner <br />Applicant Mailing Address Ciry Zip Phono <br />1�1 <br />Describe Proposed Work new house <br />PROJECTADDRESS (if known) <br />Attach tour (4) copies plans for proposed work - Draw to scale and nota the following il applicable: <br />• Property lines • Outline and dimensions ot all existing and proposed structures on the lot • Existing and proposed utilities <br />• CenteAine of street • Indicate NoM • Show any proposed prading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. AII 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 />! �JC�1 Clh' SlfGCh C�C.111 81 ?�� (IIIICS. �� � <br />� Curb gutter a�id sidewsik in the �lat are new and tmdamaged, atry damage thercto shall b� repia�ro�f at �he <br />discrction c; Shc Pnblic 1Vorks h�spccloc <br />6 hiry' clian,e in the diivewrry• c��i mu.1 be appra���ri by fhe FW [nspeclor - width 8f prop linr limitetl lo <br />cxistin�� ;�prou widtl�. <br />, ,tciji�sl wat�r bo:t�� to t•tad;: ;d eud o(con;liuclior�_ <br />n. Uiivew�•s shall be compiclely cured brfore d:��ue ou lhe�rG. <br />� i2 li� �. ... I•11l �d_.�. �� ... � h. ,�{ _._ <br />� <br />w <br />� <br />� <br />Y / <br />ou c p c rem.ir,, ��,i n. i�� �,u�cc o titc��n r�;uu sin p�owd� to lot. �i-i:E:; C_^�2,0�7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby egrees to hold aM sava hartnless <br />the Ciry of Everett irom any and a�l ctaims for Aamages, wsts, expenses, or <br />causes of action that may eAse because of Installatlon and maintenance of the <br />improvement or odier right-of-way use hereto applied for and NAher agrees to <br />rertwve same upon notice from the Ciry and to repiace pubik proparry dam- <br />aped hereby <br />` (C�_ � c � IRT <br />s� �re o v �� e e <br />WORK AUTFpR�D BY THIS PERMR MUST BE 5TAR'TED NrtTHIN 180 DAYS OF DATE PERMfT IS ISSUED AND hEREAFTER IS TO BE DILIGEMLY PURSUED TO <br />pOMpLETKNJ. hIIS PERMR MAY BE CANCELLED BY TFIE CfTY UPON M1Y S10PPAGE OF WOF�C ON T}NS PRQECT OVER 90 DAYS W RAiK7N. <br />