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El <br />70 POSTING FEB__ 2 m <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPAFiTI'.1ENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257.8810 <br />ri <br />Dade 6-1-99 <br />V(V <br />Ppglic Works Permit N <br />T <br />Building Permit k 62613 <br />TYPE OR PRINT ONLY [n J O co .-+ to co CI iEt <br />t •-+ r- N o o in v'A o m S v PuGlb Works Fee $ A <br />O N U m 0 -3' ^. OO O a-+ O V] m f V <br />b7 O •-+ f V h- o <br />North Crest Development PO Bol 340 Edmonds WA W102 t425-774-3181 <br />Owner Mailing Address eT city ie ;Zip Phone <br />Owner <br />r <br />Applicant Mailing Address - -' '=Cily 3 m rZip Phone <br />Describe Proposed Work new house Uj <br />W <br />PROJECT ADDRESS (it known) <br />Lot 3 Bush Gardens <br />Attach tour (4) copies plans for proposed work - Draw to scale and note the foilowi,tg if applicable: <br />• Property Lines • Outline and dimensions of all existing and proposed structure-, on the lot • Existing and proposed utilities <br />• Centedine of street • Indicate North • Show any proposed grading 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. All 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 />{, Keep city streets clean at all times. <br />j. Curb gutter and sidewalk in die plat are new and undamafgod, any damage thereto shall he replaced al the <br />discretion of the public works hispector. <br />6. f1ie YW hispector must approve any charge in the driveway cut. Width at prop line lintited to existing a <br />width. <br />7. Adjust water boxes to grade at cud of constriction. <br />8. Driveways Shall be ,=Ildetely cured before driving on Ihanl. <br />9. Rooftop drainage shall be discharged to iue storm drain stub provided on the lot. <br />Im <br />0 <br />ei <br />z <br />0 <br />V/ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />CI /�The undersigned owner/applicant hereby agrees to hold and save harmless <br />/97 the City of Everett from any and all claims for damages, costs, expenses, or <br />pro a or s rue a e 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 />l( aged thereby. <br />FINAL INSPECTION Date .`�A �� /p ■L� / // <br />Approved as Constructed IL C/L- 1X'�� (S' 5L / �- <br />Signature of Applicanta <br />WORK AUTFIORIZED BY THIS PERMIT MUSS' BE STARTED WITHIN 18D DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO.IECT OVER 90 DAYS DURATION. <br />