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� <br />�� <br />� <br />TYPE OR PRINT ONLY <br />Apppcation For <br />PUBLIC V�IORKS PERMIY <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 �azs� 2s�-e FEB � 2� <br />. _ : '15TI N 6 _-- <br />Date 5-26-99 <br />Public Works Permit N � <br />Building Permit k 62583 <br />Public Works Fee $ �� <br />North Crest Development PO Box 340 Edmands WA 98202 425-774-3181 <br />Owner Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone �, <br />Describe Proposed Work _ r.ew house <br />PROJECT ADDRESS (i( known) <br />4522 21i <br />Lot 12 <br />Attach tour (4) copies plans for pmposed work • Draw to scale and note the tollowing if applicable: <br />• Property Lines • Outline and tlimensions ol all existing and proposed structures on ttie lot • Existing and proposed utili6es <br />• Cenlerline ot street • Indicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOY� 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 peAormed in accordance with this permit and current City oi 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 />i::c�p cilv •lr:ct< cl�au at all hmc� <br />. ('iut� �;uil�r ,md �i�i�wall: in N�e plal are uew ancl �md;mia�.ed. �irv daw,�r:� lher�to ;h:dl he r�pll�al'tt Ihe <br />discrcqou oPttiz Public 1��orks In�p��lor. `' <br />,�n� cliaut;� iu tl�: dnvrwa�� cut mu;� n� �ni�����ea n}� the 1'�' Insp: ctor - a�idlh Jt �fop Iiuc �JOhtcil ;o <br />� exisline apron widd�. -.. _ 'r�3.(i(� <br />- ;,d�u;t waler box� lo ��rade �t cnd oCconstniction. <br />1 uivcw��; >hall b �uinplctcly cared belore diivm��, on Ihem. <br />��, P.onliop driimr�.�• ;Iml� l,: �ti-�har�^ed �o =iomi Pr,iin shib pro�ridcJ to lot <br />EL,, 3O (;.' <br />�'\L��SU '#�rO <br />�:xVr U GO <br />�• lU«"c <br />,'-1ER 130.UG <br />c1981 <br />��;t 70.(t0 <br />. ._.. :r'.. ,., <br />W <br />� <br />� <br />V/ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hotd and save harmless <br />the Ciry of Everett irom eny and all claims for damages, costs, ezpenses, or <br />causes of action that may arise because of installation ard maintenance of the <br />improvame :t or other right-ot-way use hereto applied tor and further agraes to <br />�emove aame upon nofice from the Ciry and to replace public properry dam- <br />ag thereb <br />� 7 �2ti q`1 <br />Sfaro pi ae <br />WORK AUhqFi�D BY THIS PERMfi MUST BE STARTED WITHIN 180 D.4YS OF DATE PERMIT IS ISSUED /WD T}�REAFfER IS TO BE �J�ENfLY PURSUED TO <br />COMpLEf10N. THIS PERMR MAY BE CANCELLED BYhIE CfTY UPON ANY SlOPPA6E OF WbPo( ON iHS PROJECT OVER 90 DAYS DUfiAiION. <br />