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Date_ �/17/95 <br />Applicatinn For _ g_ �_ � .� <br />PUBLIC WORKS 1���� - <br />Print or Type Only ','' r; �; �? �? �; �:, <br />�n �:r c. ci .. n <br />r i n .n � <br />Il rrl f �.� �.. <br />Oakcrest Homes Inc 13712 64th Dr SE Snah�mi�h� 98290 <br />SCOC[ 11oi7S8 <br />Applicant <br />Oescriba P•oposed Work <br />� <br />i <br />Mailing Atldicss � City <br />New Hou::e - <br />Prole��Address�ilkno�rnl 730_Z4th St SW ____ <br />PunLc wo,w, ao,mn . �J / � . <br />e�ao o�o� . 47772 . . <br />Pe�M1c Worh� 1 ee <br />Tota� Fne S <br />lenAoo� igePa f S <br />° 2O_ — <br />�� r.i v� r- <br />o P n c� <br />• ��. <br />37r4229 " <br />iF`�R c�'.� �.. i? r r,'� .rnone <br />�� y'J 2: r� ]: - r., IJ Ci ial C, i:i <br />Ll i 1!� f l�_ �� C� 1- [:. �' tP I� i <br />_i i�i.i,"vc�,Tn:i 1 <br />.1 !1. .! (:' Il) fl '1�� i 'f(' fll fI� (.1 <br />ZiP Phone <br />C? <br />llttach lour (4) copies ol plans lor proposed work • Draw �o scale and noi � me lollowing as appficable�, <br />• Property Lines <br />• Outline and dimensions ol all exishng and <br />proposed structures on Ihe lot <br />• Existing and proposed utilifies <br />• Cenlerlme ol street <br />• Indicnte Norlh <br />• Sho+v any proposetl gradiny charaes <br />• Shcw m��asuremenls <br />PERMIT CONDITI0IIS <br />1. All calis lor Inspection shall be made 24 hra. in advance • phone 2S9•8810 <br />2. All work shall be parlormed in eccordance with this permit and current Ciiy oi Eve�eR Doslgn and Conatmctlon <br />Stendaide end Specilications. <br />3. Cell Lor.ation Underground Servic� •1) his belora you dig. TOLL FREE NUMBER 1•800•424•5555. <br />1. Install reck constn�ctieu cntr�mre bchind d�ivcw�n� uc per cin� shmdard d2��Q a�id crosion cen7ol a� duected I <br />PubGc Wo�ks Inspector. <br />�. I:ccp cip� sirccts dcan at sll timcs. <br />6 f'urb rutt�r and sidewnik in ihe plat are new and undamaned atn� dmnn� c ihercto shnU be replaced at ihc <br />disc�eliuu of tlic I`ublic Wotks Lupeclm. <br />'. .1ny chanE;c in Ihc driti•cw.�• cut must bc appro��cd by thc ]`�1' Inspc�tor, «•idNi at prop linc Gmitcd to czistuig <br />npron w�d�li. <br />S. ('wb fnce i4:w�, or olher stonn �L�� stuL, iiave bcen piovided lo ench lot in Ihr, pinl lor tlie comiectiou of <br />rooflnp downcNou�c. <br />y� <br />� --- <br />___'�� �L <br />�pproved lor nstructio <br />�� <br />FINAL INSPECTION <br />Approved as Construeted <br />� � PUFiLIC WORKS DEPARTMENT <br />�3200 Coder Streot <br />Everelt, WA 98201 <br />Phone� 2[i9�B910 <br />3, <br />%'-3 • y� <br />�alr. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned ownei/applicant hmeby agrees Io holA nnd save harm� <br />I� less ihn Cny ol Everell Irom any an0 all claims lor tlamaaes, costs. <br />c.pe�ses. ur causes of ac�ion �hal mny arisa because of installation <br />and mainienance ot the improvemenl or olher right-o4way use herclo <br />applieJ lui and lurther agrees to remove same upon notice Irom Ihe <br />Ci�y and to replace public properly damaged Ihereby. <br />�% � � �f /5�-� 5- <br />Signature ol Appl anl Dale <br />W(1RK AUTHORI2E0 BV THIS PERMIT MUST 8[ STAFTED WITI{IN <br />180 DAYS C1{' DAiE PERMIT IS ISSUED AND THEfiEAFTER IS TO <br />BE DILIG[N1LY PURSUED TO COMPLETION. THIS PEFfAIT M�V B[ <br />C�NCELLCD BV THE CITV UPON ANV STOPPAGE OF WOFiI:ON THIti <br />P70JF_CT OVER 90 DAVS DUR4TION <br />