6229 BERKSHIRE DR 2018-01-02 MF Import

i Date. 11/1/94 / 4 S p PUF�ic WPMt Permit Application For TO POSTING .}— eidg Dect.._ 46096 e F PUBLIC WORKS HTptet ERMIT PupTOW e Fee — Fes 8 — C Less Appr Fee Pus $ ____ _- Print or Type Only i u e.eep.op. s 20 Dell Johnson 8932 Lariner Rd ::EvebELt" ae98208 0 331-„>963 Owner Mailing Addros� " —X a Zip Phone r8' u5 V rr-i cam, �t �i `'. Kurt Shipley 337-7783 a Z W d ! - R Applicant Mailing Address City Zip Phonn Describe Proposed Work New duplex — Project Address (if known) _ 6229 Berkshire Dr A&B Lot 2- SP #14-92 Attach four (4) copies of plans for proposed work • Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North TM co proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements 00 DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hrs. In advance • phone 259.8810 Mai 2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. z 4. Rooftop drainage shall be discharged: O • To the site's storm drain system (private or public) IF, To a rusidential roof downspout system designed per section 4- 9.4 of the city standards • Onto splash blocks N The method selected will be subject to Public Works Departement O approval. a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for dama0es, costs. _(.�C� expenses, causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Appr ed r Constru it Date City and to repla-e public property damaged thereby. FINAL INSPECTION Date 'L L"•'—� -- Approved as Constructed Signs ure of Applicant Date PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY IS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF' DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett, BE DILIGENTI Y PURSUED TO COMPLETION. THIS PERMIT MAY BE 9 tree CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone: 259-8810 PROJECT OVER 90 DAYS DURATION.