5407 1ST DR W 2016-01-01 MF Import

r , I� � I ^ Z�� Pub�m Workf Pe�mil� ___'!LL�� Data �-21-93 T� POSTING �ti�2�'`��' BiEODent• 4,4� qpplicatlon For _ PUBLIC WORKS PERMIT P"°'""'°,"„Pe s Ta101 Fea less AOo�-Fee Paia s �p� Baience oue s� ' •-� Print or Type Only r 1 � `, Select Nomes 237 Elm St Everett WA 98203 C2Y8-1503 Zip pnone Owner Mailing AtlAress � Owner C7 ��Y Zip Phone ppplicant Mailing Address � J Describe Proposed Work new house � � W 5407 lst Dr W _ Lot 20 Hanabrook 4 � Project Address(ii known) — Attach four(4)copies ol pl�ns for proposed work• Draw to scale and note the following as applicable: � • Property Lines . • Centerline of street • Indicate North • Outline and dimensions of all existing antl � Show any proposed grading changes proposed st�uct�res on the lot � Show measurements M • E�isting and proposed u;ililies W , DO NOT WRITE BELOW THIS LINE � PERMIT C.JNDITIONS � 1.All calle,for inspection sheli be mede 24 hrs.in advance•phone 259-8810. 2.AII worle shall be performed in eccordence with Ihis permit and current City of Everett Deslgn and Construction Standards end Speciticetiona � 3.Cell l ocation U�derground Service 48 hrs.be�ore you dig.TOLL FREE NUMBER 1•800�424•555 . q. tr•ntall rock conatruction entrance behind dciveway as per city O ei,andard 1t208 snd eroeion control as diracted bY Public Worke Inepector. 5. Keep city atreeta clean at all times � 6. l�rb Etutter and sidewalk in the plat are nes� and undama�ed, any demage thereto ahall be replaced at the diacretion of the � Public Worka Inspector. •)_ (�y change in the driveway cut muat be approved by the PW In- � o apector, width at prop line limited to existing aPron width_ g. Connect all roof, yard and driveway drains to atorm drain � syatem Frovided to lot. 9. Ad,iust aater boxes to grade at end of construction_ 10. DriveNays aha11 be rompletely cured before driving on them. ACKNOWLEDGEMENT OF CONDITIONS n� The undersigned owoeqapplicant hereby agrees to hold and save harm• � less the Clty ot Everett Irom any and all claims for damages, cosis, �� expenses. or causes of action that may arise because ot inslallation and mainlenance of the improvement or clher right-o4way use hereto applied lor and further agrees to remove same upon nolice Irom the Approved for Constru tion ate Ciry and to replace public properry damaged ihereby. F� /1-1i-17 � � �0, � �— ��3'9,L Date '�`�' Date FINAL INSPECTION Signature ol Applicant Approved as Constructed yypRK AUTHORIZED BY THIS PERMIT MUST BE ST.4RTED WITHIN PUBLIC WORKS DEPAR?MENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO �� 3200 Cedar Street BE DIUGENTLY PURSUED TO CODAPLETION.THIS PERMIT MAY BE Everett.WA 98201 CANCELLED BY THE CITY UPON A��V STOPPAGE OF WORK ON THIS Phone:259�8810 I PROJECT OVER 90 DAVS DURATION.