5509 1ST DR W 2016-01-01 MF Import

7-23-93 � Vuobc Worxa Permn� �� , . Date Fj - � �Z ^4 01Cp Dept• 41410 � Application For PUk�LIC WORKS PERM � , "�bTotalFeeFee s 1 POSTING� z �� LFeePa�O S-�/�/''� � Balance Due S '"� Print or Type Only �� �� Select Homes 237 Elm St Everett WA 98203 258-1503 ` Owner Mailing Address Cily ZiP Phone Ownet Applicant Mailing Address Ciry ZiP Phone t� G Describe Proposed Work new hollSe . __. ..L �- W ProlectAddress�iiknown) 5509 lst Dr W y Lot 28 Hanabrook 4 � � Attach lour(4)copies of plans lor proposed work- Draw to scale and note tne lollowing as applicable: � • Property Lines • Cenlerline of streel • Outline and dimensions oi all existing and • Indicale Norih proposed structures on ihe lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � 7.All calls lor inspection shall be made 24 hrs.in advence-phone 259•8810. 2.All work shall be peAormed in accordence with this permit and current City of Everett Design and Construction Stendarda end Specifications. � 3.Cell:ocation Underground Service 4B hrs.before you dig.TOLL F,iEE NUMBER 1-800�4245555. 4. Install rock construction entrance behind driveway as per citv O standard #208 and erosion rontrol as directed by Public Worka Inapector. 5_ Keep city atreeta clean at all times � 6. (�rb �nitter and aidewalk in the plat are new and undaraaged. any damage thereto ahall be replaced at the diacretion of the � Public Worka Inspector. 7. Any change in the driveWay cut must be approved !ry the PW In- O apector, width at prop line limited to existing aFron width_ 8_ Connect all roof, yard and driveway drains to atorm drain /� syatem provided to lot. �i 9. Adiust aater twxea to grade at end of coc:struction. 10. Dciveuays ahall be completely rured before driving on them_ �` ACKNOWLEDGEMENT OF CONDITIONS n l5 y ThF�undersiqnetl owner/applicant hereby agrees to hold and save Farm• _ less the Clty of Evere�t trom any and all claims for tlamages, cost�. � 'Y/ exPenses. or causes of action that maY arise because of instaea�icn and maintmance ot the improvement or other righhobway use he�eto S� applied lor and further agrees to remove same upon notice Iro�a the Appro d f�r Constr eyo i Date City antl to replace Public property damaged thereby. i1 .ei.y� ^ � � � l_J�^�^� `r' ;- `�— FINAL INSPECTION Date Date Approvec as Consiructed Signature oi A�ant 'NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259-8810 PROJECT OVER 90 DAVS DURATION.