5309 EAST DR 2016-01-01 MF Import

� � TYPE OR PRINT OtvLY H PUBLIC W6aRKS PERMIT —1--�' � Date 1O « –1 � PU6LIC WORKS DEPARTMENT Public Works Fermit p_ Q�/..�CJ–� 3200 Cedar Street — Everett, WA 987.07 259-8810 Building Permit A � 53145 �4� PQSTING APR a o �se Public lNorks Fre $ 2 � I �021 N� 1�9� Pl tnville �(Sc�7:? �{.�..,_�.86 Zip : .... �_ -- Applicant Mailing Address �i� — Y Z�P Phcne Describe Proposed Work PROJECT ADDRESS (if known) S�Oq r�ve Attach four (41 copies of plans for proposed work - Draw to scale and note the following if applicab�e: •Property Lines 'Outline and dimensions o( all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of sireet •Indicate NoAh •Show any proposed grading changes �Show measurements . _ ---.. ...... �...� PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be pertormed 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. t. Itoottop :h•ainn¢e sliall be discharqed: • To Ihu sile'r slt�nu drauu sysA=m (pri�•tilr. or public) • To � residential roofdo��mspoul syslum desiF�ied per section 4-9.4 b�'�A`�c�e v 4:�;fM 000 stundvds � - • t!��o spls�sh blocks �00053:45 "Iln• inelliod sel�:cted will Le suLjr.ct to Public Works luapectur tipprovt�l�L�, �667.00 FL„G 36..00 -. Au indiviclual przssiu,� reduciqg vnl��e shall Ue iast�Jled mi U�e water sei�i6NF'ft� d�is$$�. 0 ��"�' DF.IJW �' 4�0.00 �. I'ruviilu fi�ur offslreel pt�rkiqq s�,�lls vul of Ihe et�seruent :�ccess fire Iiuie.�00030894 51'SDEV 31296.0? SEWER 370.]Q C"ECf: a�210.50 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees t� hold and save hartnless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of tne improvement or other righbof-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public pmper�y damaged thereby. J �� CO Sig ture of Applican Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.