5725 1ST AVE SE 2016-01-01 MF Import

8-4-93 1� ,' Zv"�' PubLCWod6Pe�mlt• •� 3�� / Date Biae oect • � �Sfi� Application For n PUBLIC WORKSTP�R�� - �� °"°"`"'°`""°° Total Fee S Less AoO��F<a Pa�O S �7 BalanceDue S1�' Print or Type Only Colony Craft 14410 Bel-Red Rd 11200 Sellevue WA 98007 644-2323 � Owner Mailing Address City Zip Phone � Owner Mailing Address City Zip Phone qpplicent � new houae � Describe Proposed Work � W q`'e Lot 45 Ha � Prolect Address�if knowN 5725 Lst -8r SE � Attach four(4)copies of plans for proposed work• Draw to scale and note�he lollowing as applicable: � • Property Lines • Centerline of street • Ou�line and dimensions of all ezisting and • Indicate Norih proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show mezsuremenis M W DO NOT WRI�I E BELOW THIS LINE O PERMIT CONDITIONS � 1.A�I cells tor insper.tion shell be mede 24 hrs.in advance•phone 259•8810. � 2.All work shall be veAormed in accordance with this permit and current City of Everett Design and Construction Standerds and Specifications. � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. 4. Install rock conetruction entrance behind driveway ae per city atandard 1t208 and erosion control as directed by Public Worka O Inepector. 5. Keep r.ity atreeta clean at all timea 6. �rb gutter and aidewalk in the plat are new and undamaged, � any damage thereto ahall be replaced at the diecretion of the � Pablic Works Inspector. 7, Any change in the driveway cut muet be approved by the PW In- O apector. width at prop line limited to exiating apron width. g. Connect all roof, yard and driveway draina to atorm drain � syatem provided to lot. 9. Ad,fust water bozes to grade at end of conatruction. 10. Drivewaye ahall be completelY cured before driving on them. ,A1ppp ACKNOWLEDGEMENT OF CONDITIONS � The undersignetl owner/applicant hereby agrees to hold and save harm• less the C�ty ol Evere�t from any and .II claims for damages, cosis. , � � expenses. or c�uses ol action ihat m�y arise because of installation / /�/l�/ �Q�J�� /l ,, �� /� and maintenance of Ihe improvement or other righPobway use herelo �� y%/ F�-� applied lor and luriher agrees to remove same upon notice irom t e App ved lor Cons ruction / Date Ciry and to replace public property damaged thereby. �r` 3.).y' � . : � FINAL INSPECTION Date Date Approved as Consiructed Si alure ol Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN �Ar� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUEL` AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENiLY PURSUED i0 COMPLETION.THIS PERMIT MAY BE Everelt WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON iHIS Phone:259-8810 PROJECT OVER 90 DAYS DURATION.