5431 1ST DR W 2016-01-01 MF Import

11-15-93 � -ZSJ ( Date TO � � PuUIK Wod6 Pl�mll• � � ,� � rncriNf .__c��Z—RV eiaqosa� . 4140A Application For PUSLIC WORKS PERMIT PueToteFeeFae s Leaf ADO�Fee FUE s q B�bnceDue s lDr• Print or Type Only � �, Select Homes 237 Elm St Evet .:t WA_ 9820'� ?58-1503 ) Owner Mailin9 Atldress Ciry Zip Phone Owner Applicant Mailing Address City Zip Phone �� < Describe Proposed Work new ho a — — � W � project Address(if known) 5431 13t Dr W Lot 26 Ha � Attach four(4) copies of plans lor proposed work• Draw to scale and note the following as applicable: � � Property Lines • Centerline ot streel � � • Outlina and dimensions ol ali existing and • Indicete North . proposed structures on lhe lot • Show any proposed grading chenges • Existing and proposed utilities • Show measuremenis M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � � i.All calis for Inspection shell be mede 24 hrs.in advance•phone 259•8810. 2.All work shell be peAormed in eccordance with this permit and currenl City of Everetl Deaign and Conslruction Stendarda end Specilicatlona � 3.Cell Locetion Underpround Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800�4245555. 4. Install rock conatruction entrance behind driveway as per city standard it208 and erosion control ae directed by Public Worke O Inapector. 5. Keep city atreets clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, � any damage thereto ehall be replaced at the discretion of the Public Worke Inspector. N 7. Any change in the driveway cut mvst be approved by the PW In- O epector, width at prop line limited to exieting apron width. 8. Connect all roof, yard and driveway drains to storm drain � eyatem provided to lot. 9_ Ad3uat water boxes to grade at end of construction. 10. Driveways ahall be completely cured before driving on them. � ACKNON'LEDGEMENT OF CONDITIONS The untlersigned owner/applicant hereby agrees to hold and save harm- less the City ut Everett irom any and all claims for damages, costs. � � e■penses. or causes of action that may arise because of installalion 1A^ (�1 I 7 and mainlenance ol �he improvement or other righ4of�way use hereto �`(,y�,,�,1'1 I�L�I" �U � �J applied for and funher agrees to remove same upon notice irom the Approved for onsiruction D31e Ci� n o re lac ublic propert amaged ihereby. %/,�•�� 7-�� -4y _ - FINAL INSPECTION � 1e Date Approved as Conslructed igna re o ApPlica WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTED WITHIN /�� PUBLICWORKSDEPARTMENT 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF IS TO 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everetl WA 96201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS Phone:259•8810 PROJECT OVER 90 DAYS DURATION.