124 FOREST CT 2016-01-01 MF Import

Application For / PUBLIC WORKS PERMIT Date $/15/96 PC3LIC WORKS DEPARTMENT Public Works Permit M CI��IZ 3200 Cedar Street Evere��,WA98201 259-B810 �p 1 8 � BuildingPermitri 595A3 _ �0 POSTING r`� "" " "" publicWorksFee$ � ` TYPE OR PRINT ONLY MINNIE BERG 12417 36TH AVE SE EVERETT 98208 337-7540 Owner Mailing Address City Zip Phone � Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE — BASIC 1202 � 11:ObAM OOORNT � / //� V♦ PROJECT ADDRESS(if known) � /h �'� W Attach four(4)coples of pians tor proposed work-Draw to scale and note the following N applicable: �(� �,� O Rroperty Lin�utllne and dimensions of all exlsting and proposed structures on the lot •Existing and p�utilitiesy�,� �Genterline treet •Indicate North 5how any proposed grading changes •Show measurementsaj�� .� � DO NOT WRITE BELOW THIS LINE �� s105�� PERMIT CONDITIONS: 1.All calis for inspection shall be made 24 hours in advance-phone 259-8810. �� .�� O 2.All work shall be performed in accordance with this permit and current City of�D��a� Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�-��• � V♦ 4. Keep city atreets clean at all Umer. O 5. Curb Qutter �nd ddewstl� in the plat are new end undemeged, eny dama�e theret , ah�ll be repl�ced at the di�cretioa of the Public Workr Inspector. a 6. Any chsnQe ln the drivewnq cut must be approved by the Public Works In�pector, widt6 rt prop llne limited to eadsting apron wldth 7. AdJud taeter boses to �rede at end o[construction. 8. Drivevwiys shnll be completely cured before driving on them. 9, RooTtop dralnage ahell be dlacharQed as foUoaw: a) 4ots 1 thru iO ehall discharge to spla�h biocks or other approved device b) Lots 11 thru 18 ahell dtscherge to the rtorm drein stub provided at the front of the lot. � ACKNOWLEDGEMENT OF CONDITIONS �� The undersigned owner/applicant here6y agrees to hold and save hartnless I� �, 2� 9 the Ciry of Everetl from any and all claims tor damages,costs,expenses,or � � causes ot action lhat may arise because of installation and malntenance of ApprovedforCAnstru SI n Date theimprovementorotherright-of-wayuseheretoappliedforendiurtheragrees � to remove same upon notice from the City and to replace public property �� .• . / 3/-f,7 dama9ed ihereby. � ,,`- F NS CTION Date Approved as Constructed � �— ,2 �— �,� S�gna—re of Applic� Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENRY PURSUED TO COMPLEf10N.THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.