16 ALDER ST 2016-01-01 MF Import

Application For � � �1 � � PUBLIC WORKS PERMIT Date Z��i96 _ _ � PUBLIC WORKS DEPARTMENT Public Works Permit# d/V 3200 Cedar Siree� — ��- Everett,WA9B201 259-8810 +QpC BuildingPermit# s07�6 I � � � �U NPE Ofl PRINT ONLY TO POSTI N G MAY Public�Norks Fee$ � li GAENZ HOMES INC 9004 44TH AVE W MUKILTEO 98275 347-6484 l Owner Mailing Address Ciry Zip Phone �� f � � . DORLIN GAEN2 � Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOIISE – BASIC 1146 � : � � PROJECT ADDRESS(if known) 1-�0 AL pE� STiZE�� LO 6 S DE AST � Attach four(4)copies of plans for proposetl work-Draw to scale and note the following H applicable: � �� 'Property Unes 'Outline antl tlimensions of all existing and proposed structures on the lot •Existing and p �3t��tes e �CeMerline of street •Indiwte North 5how any proposed gratling changes •Show measurements" �� ah'^`T` al.� $b.i,�^ � DO NOT WR1TE BELOW THIS LINE "EC4 ��Q.�! PERMIT CONDITIONS: �'��;�' Syq'Sp Z 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. �5'iVW'/ g2�J,�;1 2.All work shall be performed in accordance with this permit and current City of�Q@�816sign and O Construction Standards and Specifications. t,yRTr(t �;.p�,� 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�yE'&0&-424-5555. ` �E'�IEFr 47L'.�Li r 5'�S^EU �1�9ca�C � 4. K+eep city rtreeta clean at all times. '�s�F4`, ?�vTQ=� O 5. Curb gutter and sldemalk in the ptat are new end undamaged, any damegw theret �hall be replaced at the di�cretion of t6e PublIc Works Inapeetor, a 6. Any chanQe la the driveway cut muet be approved by the Publlc Worke Inspector width �t prop line limited to esi�ting rpron width '7. Adjud wwter boxes to�rade at end of coaatruction. B• Drivevwys�li be completely eured before dr{eing on them. 9. Rooftop draina�e ahall be di�chary�ed to the lab inliltratlon trench as per the city's "Roddent3al Roof Downqwut 8y�em" detail and as per the locat3on intormaUon on the (ot'a aite plan. Any change In the Inriltratlon trench must be approved by the Public Wark� Inspector. Call for ins�rection prior to cavering. �� ACKNOWLEDGEMENT pF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless �� G the Ciry of Everett from any and all claims for damages,costs,expe-ses,or Approvetl/or nstructio yty causes of action that may anse because of installation and maintenance of the imFrovement or other right-of-way use hereto applied forand further agrc�es to remove same upon notice from the City and to replace public property �� 3p �l da ged thereby. FINAL INSPECTION Da[e Approved as Constructed �� "` � a /4f 1�4L Signatme of �pli ant /� . Date 1G�.,,. �w� �,R,q WORK AIRHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE`91LIGENTLY PURSUED TO COMPLETION.THIS P�RMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DUfiAiION.