5531 1ST AVE SE 2016-01-01 MF Import

x v � Date 1�1a�94 � r� �n��N r /'�-Z,3 .L P�OI�c WorM�Perml�� -'2�� '.' u <� � a o.u� • 43267 Applicelio or PUBLIC WOR�S PERMIT P�bl¢worwaFee Tolel Fee s Leaa Roo�Fee GeiE 3 T//—� -- � B�Isnce Due S 1LLL�— = gggg � 8 g g gg � 1LLL li Print or Type Only �, � � � � � M �� Colony Cr.aft 14410 B€1—R�'d Rd Bel.le e 80 6�-2323 " / Owner Mai4i Rd ss �t � � �Zip Phone Same � � � � � �� " � Applicant Mailing Address City Zip PhOne � � Describe Proposed Work 5531 lst Ave SE Lot 36 Hanabrook Div 2 r e W Prolect Address(if knownl DTGW � A aic 1�A � f� Attach four(4)copies of plens for proposed work-Draw to scale and note tne following as applicable: � • Property Lines • Centerline of street � Outline and dimensions of all existing and • Indicate North proposed slructures on the lot • Show any proposed grading chenges • Existing and proposed utilities • Show measurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � 1.All cails for inspedbn ahell be mede 24 hrs.in advance•phone 259-8810. 2,q11 work shell be performed in eccordence with ihis permit end curtent City of Everett Design and Construclion Stenderds end Speclfications. � 3.Cell Locetion Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. �. M�tal rock conslructfon�Mraec�behiod drivevwy ai p�r cily dmdard�208 and arocion coMrol as dimcted by Publc Workc O I Insp�ctor. 5.Ke�p cHy ctroetc cNan at al times ■ 8.Curb gul�er and sidwwlc fn the pM aro nsw and undamaged. r �iry damage thereto shal bs ropbced at the dfscretion of the � Pubic Works Insp�ctor. 7.My chanpe In the driveway cut must be approwd by the PW In- O tp�ctor,widlh a1 prop Ine ImRed to exlating aPron wldlh. 8.Connect al rool,yard aod drive�wy dnins to storm dnin � syit�m provid�d to bt. 9.Adjud waler boxes to qnde ri end oi construction. 10.Drlvew�Ys shai be compbtey curod batoro driufng on them. � ACKNOWLEDGEMENTO CONDITIONS � The undersigned owner/epplicant hereby agrees to hold and save harm- less the City of Evere!t Irom any and all claims for damages, costs, 11 �� ezpenses, or causes of action that may arise because of instatlation ---^��C�///J , �/ L�� and mainlenance of the improvement or other righPohwaY use hereto N`�•� applied for and further agrees to remove seme upon notice from the Approved lor Construction/ �a�e City and to place public perry damaged thereby. %�� G- lZ ' �Y / - Ff(JAL INSPECTION Da ate Approved as Constructed Signature of ApPlicant WORK AUTHORIZED BY TH�S RMIT MUST BE STARTED WITHIN �� PUBLICWORKSDEPARTMENT 780 DAYS Of f1ATE PERMIT ISSUED AND THEREAFTER IS TO 3200CederSireet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOHK ON THIS Phone:259-8810 PROJECT OVER 90 DAYS DURATION.