11023 PAINE FIELD WAY 2016-01-01 MF Import

PUBLIC WOR�SPPEI�M T � � �°�e__ 3-5-96 !� � PUBLIC WORKS DEPARTMENT Public Works P � em,n x 3200�Cedar Street Ev WA9B201 259-8810 Builtling PermR N S 1033 9NflSUd�l �� n c: �.I �; �. �! � � r� c' T��,' �1 ��, � ��I ��ri' � T'PEORPRINTONLY �.i r' r. , � i.-• � r� . ci �b WorksfeeE�:._r/�7 _— . . . r; ' r.: i r- [��: p , e� ir� .r s^ ,_ .. , i. . .. Theo Conetruction PO Sbic 2DK5 Bothe11�:98041-2065^ �$06-486-7643' u, " Owner MailingAddesc.'-:�` c�� :� �Ciry �^_ _ -Zip �n �� plwne u�� e.. .t �� r .a c) [r. +_ .t :: li'1 f_� L� r t' ] [l C� C l ]' :> f"� U 4'� T 1 '�- .•> ,- f� U f� � ' f i � f 1 ('- f [J ' LI f' f, t L ✓ " �. Owner Ted or Diana Se11n r, ' ! ' � ' ' � �, �, �•� �, � r �r � :C �' S ir � �� r ': :it r'- Yf 'r r�. .. rf' r` f '. Applicant Mailing AdCres ' CRy Zip � Phone Describe Proposed Work new houee _ � — � � -. ♦A v/ PROJECT ADDRESS (if known) 11.02:i Paine Field Way � Lot 3 SP 1124-94 � Atlach four(4)copies of plans for proposad work-Draw to scale and ncle the tollowing H applicable: O �Property Linas �Outline and dimenslons of all existing and proposed structures on the lot •Existing and proposed utilitias 'Centerline oi street •Indicate North 5how any proposed grading changes �Show measurements � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: � 1.All calls for ins�Pction shiall be made 24 hours in advance- phone 259-8810. O 2.All work sha�l be perfomied in accordance with this permit and current City of Everett Design and Construction Standarde and Specifications. 3.Call Locatinn Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6555. � 1. Rooflop clrainare shall be diFcharged: � . To the aile's��torm drain syatem (private or publicl O • To u�e�idenlial roof dowuKpoul Syslem designed per Heclion 4-9.4 offhe � city stcmda�-ds . C�nto splaQh blocks '!he method eelected will be suhject to Public Works ]nspector�ppmval. f n� > �/J / ACKNOWLEDGEMENT OF CONDITIONS __�w/ , •, ! /�v �/ �� The undereigned owner/applicant hereby agrees to hold and save harmless rii�� the City of Everett from any and all claims for damages,costs,ezpenses,or App%Construction D te T causes of actlon that may arise because of installation and malntenance of � the improvement or other rigM-oi-way use nereto applled for and fuAher aprees � to remo same upon notice from the City and to replace public property dam r AL INSP ate Approved as Constructed �� 3�� S nature o �plicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS ATE P RMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLEf10N.THIS PERMIT MAY BE CAIJCELLED BY THE CITY UPON ANY STOPP F WORK ON THIS PROJECT OVER 90 DAYS DURATION.