112 FOREST CT 2016-01-01 MF Import

af �- i >�: / ,�Mr/� APPlicatio'ri,�or ` PUBLIC WORKS PERMIT Date 6/6/96 �f PUBLIC WORKS L�.4RTMENT Public Works Pertnit M !{Y � � S Z �r 3200 Cedar�reet TQ POSTING ----ren,WA9eZo,� 259-8810 Building PermR e_ 5193D TYPE OR PRINT ONLY = � � �' "' � $ $ g g � 'r � � � � � � � �.'� ��°rks Fee$_� BARB WEEKS 5404 SEAHURST AII� M EVEREATT ��2 :� �7-4083 Owner Mailing Address p.� � _ � U � Zi� � Phane � m STEVE DANDSVERK 338-0159 � � � � � � � � � � � � � Applicant Mailing Address City Zip Phone Describe Proposed Work NEW AOUSE � � � � PROJECT ACDRESS(if known) i t 2 � Attach four(4)copies of pians for proposed work-Draw to scale and note the following if applicable: •Property L1nes 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O - 'Centerline of street ■Indiwte North •Show any proposed grading changes 5how measurements � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIOIdS: � 1.All calls for inspection shall be made 24 hours in advance-phone 25�J-8810. O 2..411 work shall be performed in acr,ordance .vith this pertnit 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. H 4. Keep city streets clean at wll tlmes. � S. Curb gutter end ddewelk in tde plaY are nem sad undam�ged, any dam�ge theret � a6ai1 be repinced �t the di�cretioa of the Public Worlu inspector. a 6. Any change in the ddveway cut must be approved by the Publlc Works In�pector, width rt prop llne limited to esi�ting aproa width 7. AdJuat water bo�s ta �rade et end of construction. S. Drivewsya�60ll be com�letely cured before driving on them. 9. Rooftop drsins�s shall bs diacharged as fbllows: e� Lots 1 thru 10 �1tap di�oharge to �piaoh blocts or other appeoved c9evlce b) Lots 11 thru 18 ahell dI�charge to the storm dreln stub provided at the front of the lot. � n ACKNOWLEDGEMENT OF CONDITIONS //��(,�// _ � /•�� The undersigned ownedapplicant hereby agrees to hold and save hartnless ��' �[,��i � the City of Everett from any and all clalms for damages,costs,expensss,or Approved for Ca(struction Date �auses of action that may arise because of Installation and maintenance of >, � � theimprovementorothernght-of-wayuseheretoappliedforandfurtheragrees ,-�" to remove same upon notice from the City and to replace public properry .1�� .!��.—. �� . 1 f, �G damaged thereby. �L INSPEC ON Date Approved as Constructed � � >F S!g re of Applicant � ate� WORK AUTHORIZED BY THIS PERMIT MUST BE STAFiTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ANU THE FfER IS TO BE DILIGENTIY PURSUED TO COMPLEfION.THIS PERMIT MAY BE CANCELLE�BY THE CITV UPON ANY STOPPAGE OF WOHK ON THIS PROJ OVER 90 DAYS DURATION.