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4623 21ST DR W 2016-01-01 MF Import
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4623 21ST DR W 2016-01-01 MF Import
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Last modified
4/21/2017 12:59:24 PM
Creation date
4/2/2017 4:23:36 PM
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Address Document
Street Name
21ST DR W
Street Number
4623
Imported From Microfiche
Yes
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� <br />� <br />TYPE OR PRINT ONLY <br />Applicatbn Fer <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8610 <br />TO POSTlNG «p�-�� <br />Date 5-26-99 <br />Public Works Permit q Q� � �� <br />Building Permit M 62581 <br />Public works Fee $ 71� � <br />North Crest Development PO Box 340 Edmonds WA 98202 425-774-3181 <br />Owner Mailing Address Ciry Zip Phone <br />Owner <br />qPP�i�y�� Mailing Address City Zip Phone r� <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />nav hnune <br />,:.-.._--�- __ . <br />� _..-- <br />ri _�;,1;,�;�. <br />�� <br />Buah Gardeas` <br />Attach tour (4) copies pians for proposed work - Draw to scale antl note the following if applica6le: ,. . � <br />• Property Lines • OuUine and dimensions of a:l existing and proposed strucWres on the lot • ExisUng antl�proposed utilities � <br />• Centedine nf street • Indicate North • Show sny proposed graaing 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 advarice - phone (425) 257-8810 <br />2. All work shali be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. . <br />3. Call Locatir i Underground Service 48 hrs. before you dig. TOLL FREE NUMk3ER 1-800-424-5555. <br />� <br />i:::�v ::iry >.n,�cl� cl��w a1 ,dl lim::� <br />- �.;uri� ;nlirr ;ir,d sidc�t•;ill� ffl OIC �I;1� ;I('� IICR" tmd u�idnmaE�cd, an}' d:uua[�,� <br />n:pl;iccJ al fiir, di>crction oilhc Public iCoik� lnspciloi. <br />o An}' �hai!�•u ii� Ih;; dr:v�w:r; cul must he approved by Ihe P�N In;pecror - <br />limi�ed Io �si5lin!� apro�i �aidih. <br />tdjn�� w;i�:r boxes to gradc al end oPeou�liuctiun. <br />, I�nv��v;rc� shali be compicteh� cured Ueii�r� driviu�� ou Ihem. <br />E'o�,i;op �iraiu,ic.: ;Irill b;: di=cimc�.ad lo �tonu drain stub pro��d�d tn I�at. <br />(fIClC�O 5�7(i�� �lt <br />width al prop fine <br />W <br />� <br />� <br />Y/ <br />� <br />O <br />� <br />Y/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersi,yned ownar/applicant hereby agrees lo hold end save harmless <br />the City of Everett from any ar�d all claims for damages, costs, ezpenses, or <br />causes of ecdon that may arise because of Installatlon end maintenance ol tlie <br />improvement or other righ4ot•way use hereto applied for and fuMer agrees to <br />remove same upon rwtice Irom the Ciry and ro replace public property Aam- <br />a98/� � �i.�, �/�/7d <br />S gnTre oT p can <br />WORK AUT}iGRIZED BY THIS PERMR MUST BE STAFTED WfTHIN 18D DAYS OF DATE PERMfT IS ISSUED AND 7TEREAFiER IS iO BE �IUC,INILY Pl1�lED T� <br />COA�LETpN. THIS PERMR MAY BE CANCELLED BY THE GTY UPON ANY STOPPAGE OF WOF�1( ON 7FNS PRQECT OVER 90 DAYS DURA710rL <br />
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