Laserfiche WebLink
�j - - Z€�� �� <br /> Dete �-21-93 I" ( � PuEIICWorksPermfl• <br /> T� an cTI N f, _�_�LS� 6ia9 0ept• <br /> Application For <br /> PUBLIC WORKS PERMIT PuetoalFeeFQO : <br /> Lea Apo�Fee Pe�E s�'/���� <br /> ' Baiance Due 5��� <br /> Pnnt or Type Only - <br /> I .-. <br /> Select Homea 237 Elm St Everett WA 98203 252f-1503 <br /> \S <br /> � Owner MaiNng Adtlreas City Zip Phone <br /> Owner <br /> Applicant tvl:.idng Address City 2ip Phone <br /> G <br /> Describe Propused Work new house � <br /> ✓ W <br /> Project Address(it known) 5408 lat Dr W Lot 16 Hanabrook 4 � <br /> Attach four(4)copies ol plans for proposed work•Draw to scale antl note lhe lollowing as applicable: � <br /> • Property Llnes � Centerline ot street � <br /> • Outline and dimensions ol all axisting and • Indicate North <br /> proposed structures on Ihe lot • Show a�y proposed grading changes <br /> � Existing and proposed utilities � Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.All cells for inapection shall be made 24 hrs.in advance-phone 259�8870. � <br /> 2.All work shall be peAormed in accordence with ihia permlt and current City of Everett Design end Construcilon <br /> Stenderds end Speciflcations. <br /> 3.Cell Location Underground Service 48 hrs.before you dip.TOLL FREE NUMBER 1•800�4'�45555. � <br /> 4 steandardr 20gcandterosion contmleas directed byaPnblicBWorkey <br /> Inepector. O <br /> 5. Keep city atreete clean at all timee <br /> B, �rb gutter and eidewalk in the plat are nea end undema8ed, � <br /> any demage theretu el�all be roplacsd at the diecretion of the <br /> Public Fbrka Inepector. � <br /> 7, ATMY chenBe in the driveciay cut muet be approved by the PW In- O <br /> apector, width at prop line limited to exiati:+g apron width. <br /> g_ Connect all roof, ynrd end drivertay draina to atorm drain � <br /> syates providnd to lot. <br /> 9. Ad,ivat water boxea to Etrade at end of conatruction. <br /> 10_ Drive�+eys ahall be completely cured before driving on them. <br /> n ACKNOWLEDGEMENT OF CONOITIONS <br /> �U�. <br /> j��'" The undersigned owner/appliCant hereby agrees to hold and save harm- <br /> � less the City ot Everett Irom any and all claims lor demages, costs. <br /> --P��/��`���, ` _ _�W /��// ' ezpenses. or causes of action that maY arise because of installation <br /> � /1//O <br /> , ��,`y and maintenance of the improvement or olher righFof-way use hereto <br /> � applied for and further agrees to remove same upon notice from ihe <br /> Ap oved for Co s uction �a�e City and to replace publ�c property dama ed thereby. <br /> J�d���� 3-�_ y,�_ Q �L-�`i3 <br /> FINAL INSPECTION �a�e Date <br /> Approved as Conslructed Signatur of AUPlicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAfTER IS TO <br /> 3200CedarStreet BE DILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAY F1F <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPF:IGE OF WORK ON THIS <br /> Phone:259�8010 PROJECT OVER 90 DAYS DURATION. <br />