2040 HOLLOW DALE PL 2018-01-02 MF Import

t POSTING JAN 0 8 199i Application For j PUBLIC WORKS PERMIT Date 12-21-9s i�UBJC WORKS DEPARTMENT Public Works Permit A _�� a 3200 Cedar Street averett, WA 98201 259-8810 o Building Permit 8 50362 0 vgF38 vci TYPE OR PRINT ONLY o a o u� a �-i 3 oo o Public Works Fee $ - r, rtori:�r.i '_9toC1re r � N OJ Loren Dorrah 2820 Wftln Way ]tyftwood 9803;7 787-6700 Owner M ress(r,p Qjfy� Zip Phone GoKn Q7 0U HOOA]U(3 W Curt Johnson 33 47 n ZJ rr` n ' $ Applicant Ma1Vhg Address City Zip Phone Describe Proposed Work new duplex r 2-oft}IoIIcW DAIe, PI2lc.Z� PROJECT ADDRESS (if known) _ Lot 5 S^ #1202-24-94 Attach four (4) copies of plans for proposed work - Draw to scale mid note the following if applicable: O •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities 'Centerline of street •Indicate North 'Show any proposed grading changes •Shcw measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls 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 Everett Design and Construction Standards and Specifications. 3. Call Loc:ltion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-SM. 4. Drive«vay widenin¢ shall be in contoriliance with CRY of Everett standard plat 0307. �. Roottop nrnotforay be dischar;2ed Onto splash blocks or into downspout intilll-ation O Systems wid driveway rTuloffShould be encolwaged to irdillrate into ,grlrssy or landscaped a areas. ?G ACKNOWLEDGEMENT OF CONDITIONS �� / �/G 9/� The undersigned owner/applicant hereby agrees to hold and save harmless ' the City of Everea from any and all claims for damages, costs, expenses, or App ver'f01 Construction Date causes of action that may arise because of installation and maintenance of i the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property 1 r damageddhereby. �FiffAL INSPECTIOW 1,❑ to Approved as Constructed ` r L Sig Lure of Applicant Da e WOPK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PHOJECT OVER 90 DAYS DURATION.