Laserfiche WebLink
DBte�y'+ • • Pupl¢Wor4s Permi�• ��/// <br /> Application For eioc 000�.. 86/16167 <br /> PUBLIC WORKS PERMIT P�eucWorxsrae <br /> Totnl Fee S <br /> , I.es+Ropl Fea PeiE S ._ <br /> Print or Type Only ae�a��ao�a S ZOoo <br /> Ho�den Realtv, inc. �42q Arnadvay � r* qg n� �s� ���� <br /> Owner MaiHng Adtlress �dy Zip pha�e <br /> J& D Builders 1929 Broadwav Evere:tt 98201 252-11E6 <br /> Applicant MailingAddress City 2ip Phore <br /> Drscribe Proposed Work r.,e... �:.,..,., r__:,.. .,_.,��P�ee <br /> � <br /> Project Address(if knownj 9213 — lst Drive SE � <br /> Attach lour(4)copies of plans lor proposed work- Draw tu scale and nole ihe following as applicable: � <br /> • Property Lines • Centerline ol street <br /> • Outline and dimensions of all existing and • Indicate North � <br /> p�oposed s(ructures on the Ict • Show any proposed grading changes <br /> O Fzistin9 and proposed utililies • Show measurements � <br /> 00 NOT WRITE BELOW TH�S LIN� O <br /> PERMIT CONDITIONS <br /> 1. 411 calls for inspection shall be made 24 hrs. in ativance- phone 259-881 5. � <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 Undergrountl Service 48 hrs. before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE � <br /> SURROUNDING LOTS WITH RAINWATER RUNOFF, r� <br /> 5. DOUNSPOUTS FROM THE BUILDING ARE TO BE TIGHT—LINED TO THE pU$LIC DRAINAGE � <br /> SYSTEM. <br /> 6. ANY CURB & GUTTER DAt4AGED DURING CONSTRUCTION SHALL BE REPLACED BY TEIG � <br /> APPLICANT, <br /> Y/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The underslgned cwner/applicanl hereby agrees to holA and save harm• <br /> less the City ol F��ercd Irom any and all claims for damages, cosla <br /> / eapenses, or caures uf aclion that may arise because ol instaliatwn <br /> _ / �� / and maintenance cl Ihe improvement or other righiroFway use hereto <br /> ���� ��i-96 <br /> ' � --t applied lor and further agrees to remove same upon notice hom ihe <br /> Ap � ed lor Cp struc ' n � Dale Cily and to rnplace public properry damaged thereby. <br /> l � 1=�1 W✓�l/v—+� W'�1.� 7 // y �� 7'/�7l� <br /> FINAL INSPE TION DaT— �-.,-- Li <br /> Approved as Constructed Signature ol Applicant Date <br /> everett PUBLIC WORKS DEPARTMENT �'VnRK AUTHORI?ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND Ti1EREAFTER IS TO <br /> Everett,WA 98201 BF_ DILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> Phone:259�8815 CANCELLED BY THE CITV UPON ANV STOPPi.GF.OF WORK ON THIS <br /> PROJECi OVER 90 DAYS DURATION. <br />