Laserfiche WebLink
1 <br />IAAA <br />1 <br />11 <br />1 <br />Date 5-2-0-'31 <br />r• <br />Application Fo, <br />s-1-z8r"4 <br />PUBLIC WORKS PERMIT <br />,1. <br />U <br />Print or Type Only s Q�} e s TO POIJI N G <br />ppppp...C9. I prr� pMpM rmml m <br />01 N N .A •m N C <br />t'1 r _ _ o_ •.,:: v� 1..� INNi.Q-Id" _ 111iLL. - .d�/. <br />SI m a r :. <br />Naha Waft Permit 91710 <br />eGiftli a 9 _770Z.4, <br />Puew%xks>Ys ` <br />T0.1 Ii <br />lsu DWI. '.*PAW i <br />pnce Due B —zA.: <br />Phone <br />Describe Proposed Work New S,;yTq 1e - 8M 1 GCS. _ <br />Project Address PI known) -2- O <br />Attach four (4) coples of plans for proposed work - Draw to stele and note the following as applicable: <br />• Property Lines • Centerline of stree• <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 />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 hi In advance- phone 259.8810 <br />2. All work shall be performed in accordance with this permit and current City o Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 hire. before you dig. TOLL FREE NUMBER 1-BOO.424.5555. <br />4. REMOVE EXISTING SOLID COVER ON STORM DRAINAGE MANHOLE AND <br />REPLACE IT WIHT A GRATE. <br />5. CONNECT DOWNSPOUTS TO STORM DRAIN. <br />6. DRAIN PAVING TO STORM DRAIN. <br />7. APPLICANT SHALL PERFORM ALL NECESSARY WORK AND BEAR ALL COSTS <br />TO RELOCATE EXISTING SIDE SEWER SERVICE FOR 203 BEECH ST. AN <br />EASEMENT FOR THE NEW SIDE SEWER LOCATION MUST BE GRANTED TO <br />203 BEECH ST. <br />Approlled for Construction <br />Date <br />FINAL INSPECTION <br />Date <br />Approved as Constructed <br />-7 PUBLIC WORKS DEPARTMENT <br />j� 3200 Ceder Street <br />9L <br />o Everett WA 98201 <br />Phone: 259.8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />71 <br />z <br />0 <br />lassas <br />( err <br />0 <br />/y <br />0. <br />The vo.dersigned owner/aPpl.cant 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-ol-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />L'itypnd If) riliji public property damaged thereby. <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT !o ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY RE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />