1716 EDGEMOOR LN 2016-01-01 MF Import

� PUEI'�c Wa�kf Pa�mit• S /S�f- oate_ —�5 3(� �'O�TING ��N 25 iS� a�a9oao, . ��39 Applicalion For ry W O R KS Pu01ic WO�ks Fee ' —� PU B LIC PE RIV�;IT To,a�Fe, O Less Ayo�Fee Peitl s_�--�— n s _.� � i � � n r� a o n neaianP94�o �s_ or..� ooinc� o - � : Print Of Type Only :+ ci �ri c'� ci + o + � � � �� O O] ti M C�I f1, `.� p �A W M .' (.. �-� �� 'a `�� .n ux [i Premier Home Builders PO Box 1548 Mu�ilteoC98275 �71��3�1C°o �$�J 9�36Phone Owner Mailing Atldress .., p �� W ,� c� o � � t� :Lc� T G -.. � y_ 0 3rni�� .+ O f.]f0 L1 O� [.: lf� � iil a! 2 G, Ui �i c�1. � '_+�i � Ui [fl tr�1 Owner ^ �.�Y Z;P Pnone Applicant Mailing Address Describe ProPosed Work new house W Project Address�if knownl 1716 Ed emoor Lane � � Altach four(4) copies of plans tor proposed work• Draw lo scale and nole�Ce��ierline of stpeeii able: � • Property Lines • Indicate North � Outline and dimensions of all existing and � ghow any proposed grading changes � proposed structures on the lot � Show measurements • Existing and proposed utilities p0 NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � 1.All calls tor inspection shell be mede 24 hrs.in advance-phone 259-8810. 2.All work shall be PeAormed in accordance with this permit and current City oS Everell Design and Conslruction � Standards and Specificationa 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800'424•555 . A. Roeftop dr�inaga shall be disch�u'ged: O � To the silz's storn� drain syslem(private or publie) • To :+rusidentinl roof clowuspout oysleui dzsiw��d per s�clion�1-9.4 o£Uta � city sfandards . Onto splash blocks � 71ie method szlected will be subJect fo Public Works Departemenl approval. � a ACKNOWLEDGEMENT OF CONDITIONS ^JOC7 The undersigned owner/applicant hereby agrees to hold and save harm� �j� less the Gity ot Everett from any and all claims for damages, cosls, ezpenses, or causes he mprovemenmor other bghFof-way useahereto � I n �� (� and maintenanc I / ��% J epplied for a lur r agrees to remove same upon notice irom t e A r ved lof Co uction � � ^ ' L'ity �d to r place b' ro rty damaged thereby. � — � o yS � ;; _ , _�,�� i:. - r - ` Date Date INAL INSPECTION Signature ol pplica t qpproved as Constructed \VORK AUIHORIZED MIT MUST BE STARTED WITHIN PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO �Arli� 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION.THIS PEFMIT MAY BE Everett.WA 9R201 CANCELIED BY THE CITY UPON ANY STOPPAGE OF WO(iK ON THIS Phone:259-8810 PROJECT OVER 90 DAYS DURATION.