5525 1ST DR W 2016-01-01 MF Import

� G �z � - i-2�•4 10-1-93 PuO��c Worb Permil• DetB eiao oeo��• 42233 Appiication For TO POSTING__r- -� PUBLIC WORKS PERMIT P"°'"'"°"`F`° s Tolel Fee Leaa Apo�Fea PnE S �� Balance Due Print or Type Only � �. Select Homea 237 Elm St Evecett WA 98203 258-1503 ZIP phone Owner Mailing Address C��Y � �eL Phone Applicant Mailing Address ��Y Z�P � Lot 31 Hanabrook Div 4 � Describe Proposed Work new houae � W sszs iec nr w✓ � Prolecl Address(If know�) � Attech four(4)copies of plans for proposed work• Draw to scale and note�Ceo11eWine ot stPee�cable: � • Property Linea • Indicete North • Outlina and dimensions of ail existing and � Show any proposed grading chenges proposed slructures on lhe lot � ghow measurements M • Existing entl proposed utilities W DO NOT Wf71TE BELOW THIS LINE O PERMIT CONDITIONS � 1.All cells for inspection shell be mede 24 hra.in edvence•phone 259-8810. 2.All work shell be peAortned in accordence with Ihls permil end curtent CNy of Everett Design and Conatruction Standarda and Speciticeliona � �� 3.Cell Locatlon Underground Service 48 hrs.betore you dig.TOLL FR E MB R 1•�00�4 24•555 4. Inatall rock conatruction entrance e n drivewaY as per city O etandard it208 and erosion control as directed by Public Works Inapector. 5_ Keep city atreeta clean at all times � 6. Curb gutter and sidewalk in the plat are new and undama8ed, any damage thereto ahall be replaced at the discretion of the � Public Works Inspector_ 7. Any change in the drivewaY cut must be approved by the PW In- O apector, width at prop line limited to existing aPron width. 8. Connect all roof, yard and driveviay drains to storm drain � system provided to lot_ 9. Adiust water boxes to grrtde at end of construction. 10. DrivewaYs ahall be completelY cured before driving on them. �� ACKNOWLEDGEMENT OF CONDITIONS � The undersigned owner/applicant hereb� �grees to hold and save harm� less the City ot Everett irom any and all claims for demages, costs, �� expenses, or causes ot action that may arice because ot installalion �//Z R 2 and maintenance of the improvement or other righl-of•way use hereto ( � � applied tor and lurther agrees to remove same upon notice from the Approved lor Const uction Date Ci and to re lace public property damag ther by. ��,�� //-9}i - -Q Date Dale FINAL INSPECTION Signatare ol ApPlicant Approved asConstructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 9� PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO 9p00CedarSireet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Evereli,WA 992�1 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259�BB10 PROJECT OVER 90 DAYS DURATION.