5605 1ST DR W 2016-01-01 MF Import

3�-10-9�i ^� II -' C� Z� Date Public WorM�Parmi�• Application F aieo.o.c�.. 43746 PUBLIC WORK� PERMIT PUDIicWork�F�� � Tot�l Fea f 8 Uu ADO�FN P�iE s Print or Type Only s $ $ $ g ,R g � g g g g •��^_•o�e s-ZU � � '+ p�pO .� O(l� p�j. 00� N T M � M N ~ M (V � � W .�-1 M ^ — N .�a M M N� � Select Nomes 237 Elm St Ev�O ett WA 98203 �� 15 Owner Mailing,�1die p- r c�v � `d� t� � � ~. �'i5 � �ai � pG�b`y.' Phone �.� 4+ Owner � S� 3' � d5' m � � g � � � � � : � Applicant Mailing Address Cily Lp Phone �c,� Descrlbe Proposed Work new house < Lat 34 Hanabrook 4 1 ProlectAddress�ilknown� SGO�lst Di W'� � Attach four(4) copies of plans for proposed work•Draw to scale and note the following as applicable: � • PropeAy Li�es • Centerline of street � • Outline and dimensions of alt existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS IINE PERMIT CONDITIONS O 7.All ca��n tor�nspectbn sha��be mede 2a hrs.in edvance•phone 258�8810. � 2.All work shall be peAormed In accordance wi!h this permit end current CNy of Everett Design and Construction Standards and Speclflcations. 3.Call Locetion Underground Service 48 hrs.before yau dig.TOLL FREE NUMBEH 1•800�424•5555. � 4. Instal rock eonstruction entnnce behind driveawy as per city standaM*208 �nd erosfon coMrol as directed by PuEic Worlcs O Insp�ctor. 5.Keep cfly stroets ckan al al times 8.Curb gutter aed sideNak in the plat are new and undamaged, � �ry damaye thereto shal be replaced at the discretion oi the PuAic Works Inspector. //� 7.Arry chaope in ths drnreamy cut must be approved by the PW In- w� tpector,width at prop Ins imfled to edsling apro�width. O 8.Connect al rnoi,yard and drive�wy droins to stortn drain sy�t�m provided to bt. A 9.AdJust water boxes to grade at end of construclion. �� 10.Drivavrays shai be compbtey curod bafore driving on them. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for tlamages. costs, �� .n n� v1/)�_.,L � expenses, or causes of action that may arise because of installalion �� ///7rl�n �� ¢ and maintenance oi lhe improvement or other right•of•way use hereto applied for and furiher agrees to remcve same upon notice Irom t�e Approved for Conslruction Date City ai�ePl�ublic Pro rty damaged t reb FINAL INSPECTION Date � � � ` r Approved as Constructed SignaWre ol Applicant Date 'A�� PUBLIC WORKS DEPARTMENT WORK AUTHOR12ED BY THIS PERMIT MUST BE STARTED WITHIN 3200CedarStreet iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:259�B810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAYS DURATION.