5632 1ST DR W 2016-01-01 MF Import

�- i-z�-4 / 10-1-93 'I / Puei¢Works Pe�mit i � Date TO PQS?I�+G 3'Z7� �''1 eiea oeoi .�Lj� Application For PUBLIC WORKS PERMIT PubToelFeeFea s Lesa/Od�Fee ParE S ��¢� Baiance0ue S '"� Print or Type Only Select Homes 237 Elr� St Everett WA 98203 258-1503 `�� Owner Mailing Address City � Zi? Phone Owner Applicant Mailing Address City Zip Phone v z oescribe Proposed Work new house Lot 6 Nanabrook 4 � W Prolect Address�il known) 5632 Ist DT W .� � Attach four(4)copies of plans tor proposed work- Draw to scale and note the lo�lowing as applicable: � • ProF�rty Lines • Centerline of s�reet � • Outline and dimensions of all existing and • Indicate Nor�h proposed st�uctures on ihe lot • Show any proposed grading changes • Ezisting and proposed utilities • Show measurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS . 1.All calls for inspection ehell he made 24 hrs.in advance•phone 259•8610. � 2.Ail work shall be peAonned m eccordence with this permit and cunent City of Eveietl Design and Construction Standards end Specific2tlons. � � 3.Cell Location Undergroucd Service 4B hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � � 4. Inetall rock conatruction entrance behind drivewaY as per city standard lt208 and eroeion control as directed by Public Worke O Inepector_ 5. Keep city atreeta clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, � anv damage thereto sliall be replaced at the discretion o£ the Public Works Inspector. � 7. Any change in the driveway cut must be approved by the PW In- spectcr, width at prop line limited to exiating apron width. O 6. Connect all roof, yard and drivewav drains to etorm drain system provided to lot. a 9. Ad;ust water boxes to grade at en3 of ennetruction. 10. DrivewaYe shall be completely cured bef�re driving on them. !�� AGKNOWLEDGEIv1ENT OF CONDITIONS ' T The undersigned owner/applicanl hereby agrees to hold and save harm- less ihe City ot Evere�t irom 3ny and all claims for damages, costs, i �� /�� eapenses, or causes ol action that may arise because o insta ation and maintenance ol ihe improvement or olher right�ol•way use hereto applied tor and lurlher agrees to remove same upon notice Irom the Appro ed for Cons uction 31e Gity n�ace�blic ProPerry� d„L�am�a9ed therebY. � �K/ � 3�K.;y l0-�L6�q3 FINAL INSPECTION Date A�� !� �� qpproved as Constructed Signa�ur of Appliwnt Dale �.., W.7RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN �A� PU9LICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED i0 COMPLETION.THIS PERMIT MAY BE Everetl,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259�BB10 PROJECT OVER 90 DAYS DU9ATION.