Laserfiche WebLink
Date 8-5-94 <br />.� <br />T`.: <br />r� <br />{' —�� <br />�OSTING , <br />p19 tqq <br />Plplm Works Permil �Z75 <br />Application For ri <br />Bida. Dept.. 45180 <br />PUBLIC <br />WORKS PEOMIT <br />Pu°koWpdeFee -- -- <br />Tc Fee $ <br />O] <br />�J <br />Less APPI, Fee Pxld $ <br />Print or Type Only <br />Y= <br />O <br />f f3 � U O O <br />-J r lJ N r� <br />U l <br />f: fl U <br />Bide Due $_ <br />— <br />Do <br />CO <br />ro m (n r, <br />v a of -i +A (J <br />o h= V; <br />r, —t + <br />CJ <br />ti A M �n <br />M <br />ru cy <br />Pl <br />Robert Brokaw PO <br />Box 254 Everett 9920C 259-6543 <br />at. <br />Owner <br />i.laiiing Ardruss <10 <br />h�. wn <br />wr�, <br />Phone <br />toci <br />0 to <br />S p <br />Owner <br />o <br />51io WM8'50 <br />in a, <br />Applicant <br />Mailing Address <br />Gtv <br />Zip <br />Phone _ <br />Describe Proposed Work t1eW Molise <br />Lot 1 Short Plat 7-89 <br />UJ <br />Project Address (iI known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />� <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS <br />O <br />1. All calls for inspection shall be made 24 hrs. in advance- phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />4. Rooftop drainage shall be discharged: <br />1) to the site's storm drain system (private or public) <br />1) to a residential roof downspout system designed per section 4.9.4 of the city standards <br />O <br />3) onto splash blocks <br />'the method selected will be subject to Public Works Departernent approval. <br />U) <br />O <br />a <br />J� <br />App oved for Jrstructi- on Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />OLPUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs, <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City an 'or <br />o replac iblic property damaged then•by. <br />Slgnatwe AD <br />Datu <br />WORK AUTHORIZED BY THIS PERMIT MUST SE S ARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETICN. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />