Laserfiche WebLink
Date 6-27-95 <br />PUBLIC <br />Print or Type Only <br />Applicalion For <br />WORKS <br />fi <br />Ci <br />r. <br />c: <br />� <br />ci <br />Select Homes Inc 12811 8tt <br />Owner <br />Applican� <br />Describe Proposed Wo�k <br />Project Address Iil known! <br />V4a�fin�� <br />�t� POSTING �-�N-R� PuGlml:orwsPnrmis����� <br />61tl9 Depl. s 48774 <br />PERI�AIT <br />P r-i C.� c.; G. <br />r', r: r_�� �:-, r� <br />O„ J- U <br />r,. ; u `; in r}i <br />i,, �•: «+ <br />�':W ilA-201 $ <br />-,---- <br />�ss o-. -s c <br />ori-,.-' _t �C <br />o�� r�9 [) i.i F-' � <br />r_:i _i _i i�i �.. r.: r. <br />..�. � i i._. :: L'� [l Y <br />Df.:,�linq Addn�ss <br />new house <br />Pullli� YJO�YS FCc' <br />TOITI FCC � <br />Lessepul F?ePai� $ <br />� O O�'� ^- G" Balance Ovc <br />C] nCir['ir.:itn <br />in C O '� o�". n� <br />�_:� r- r� irn r; r-.. in <br />c rd r t <br />�< - 'r.i <br />�� w ' � a,. <br />ar�t 98204 513-9006 <br />Ciiy <br />"v: i i.;J . �. ir: '�1P <br />W w Ci �-+ 41 C.l <br />i>� �� ui f,� f3 �1 <br />trvu? rnrScnc:� <br />Zip <br />A��ach fOu� (4) copies of plans fot proposed wo�k - Drav: �o ac.il.r ann nGe �he'ollo:ving ae apUlicab4,: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposeC structures on the lot <br />• Existing and pruposed utilities <br />• Centerlinn of street <br />• Indicate North <br />• Show any r,roposed 9ratlinc� [hanges <br />• Show mrasuremen�s <br />�onr <br />Phone <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be performed in accordance with this permit and current City ot Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FHEE NUMBER 1-800•424-5555. <br />�. Kt;C� CI(�' Sh�CCIS CIC8I1 at all tunes. <br />5. Curb �utler and side�'alk ui tha plat ara necv anJ tmd:unaged, a�ry damage ther:;to sh�ll be replaceA at tl�e <br />discrefion oFihe Fublic Works [nspector. <br />G. My cliange in ihe driveway cut musl Ue approved Uy Ihe FW Inspcetor, width at prop I'uie Iu�uteJ to <br />e;dstui, apron width. <br />�. Adjast wa�cr boxes tn r�rade at end of constnicfion. <br />3. llrivcw;rys shai be completely curcd bcfore dri�in� on tiiern. <br />9. Rooflop draunage shsll be dischan�ed to ihc stonn drainagc stub prm�ded at �he liont of Ihe lut. NOTi;: <br />lols 17-27 sh:�l not disch�ge dm�ew:ry atitUor y�ud draiva��e to Il�e storm drainage stub, thesc lots sli:di us <br />th;: sh�b ior roof=top drainage only. <br />Approved as Constructed <br />�i�' PUBLIC WORKS DEPARTMENT <br />,V�^:t/ 3200 Cedar Slreet <br />Evereil, WA 98207 <br />Phone:259-8810 <br />I <br />AGKNOWLEDG[MENT OF CONDITIONS <br />� <br />O <br />♦iA <br />V♦ <br />O <br />a <br />The undersianed owner/apphcant hcreby agrees to hold and save harn��� <br />less thc City o� Evere�� Irom any and all claims for damac�es, costs. <br />c*pense,. or causes ol action that may arise because of installation <br />and mainfenance o! the improvement or other righbof-way use here�o <br />ipphr,d for and furihPr aqrees to remove same upon nolice Irom Ihe <br />C�!y oi:d to repL-�ca pubhc pronerty damaged thereby. <br />.D�(J '%�,C,� .� �n� �n ��3/� <br />Signalure of AnP��c Date <br />INORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />ig0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE �..� VJORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />