Laserfiche WebLink
Date 9-6-94 <br />.ti <br />�1zv( - <br />Application For r TO POSTING <br />PUBLIC <br />WORKSEPERMIT <br />O <br />n <br />�oa cn 0 1+1+ <br />Print or Type Only <br />>� <br />LL <br />o <br />ti o o ,0 <br />n r-I VA C J <br />r'•' a. op "' :R ai I <br />m ) <br />e� w H <n <br />Kim/Lori Carlson 7725 Grant <br />naamnG <br />Kim (worK) 764-3550 Lori <br />Pdulllnq AddresS <br />N1 <br />verett 98203 355-8721 <br />y 14 <br />in 0-U J <br />� <br />k,iry -a <br />Describe Proposed Work new house replacing demolished house <br />Project Address (if known! 7725 Grant Dr _ <br />Attach four f4) copies of plans to' proposed work - Draw to scale and note the following as applicable <br />Pubic works Pnmd • _�I <br />Bid, Deft. • 45489 <br />I'ulil¢ Works Fee S <br />Tdgl Fe! <br />Less Wool. Fee P!m s <br />Balance Due $ <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />Phone <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 of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 him before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />4. Rooftop drainage shall be discharged: <br />• To the site's storm drain system (private or public) <br />• To a residential roof downspout system designed per section 4- <br />9.4 of the city standards <br />• Onto splash blocks <br />The method selected will be subject to Public Works Departement <br />approval. <br />IF <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett. WA 98201 <br />Phone: 259.8810 <br />Date <br />W <br />F- <br />U) <br />Im <br />O <br />re.j <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs. <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Vgnature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />