5726 1ST DR W 2016-01-01 MF Import

U�- i—��-4 10—01—Q',3 �u�l¢woda Vermit� �/ � Date T� P�4T1� + 42229 Application For �--SrJ�n'�J4 eieo.oec�.• PUBLIC WORKS PERMIT PUETc�WFQeFee s Less Appl Fee PeiC S Beiance Uue S ��—P� Print or Type Only r -� Select Homes 237 Elm St Everett WA 98203 25b-1503 �� Owner Mailing Address City 2ip Phone Cwner Applicant Mailing Address City Zip Phone � G Describe Proposed work _ new hause Lot 2 Hanabrook 4 _i W ProlectAddress�ifknown) 5726 let Dr W � Attach lour(4)copies of plans for proposed work- Draw to scale antl note the following as applicable: � • Properry Lines • Centerline of street � • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show dny proposed grading changes • Existing and proposed u:ililies • Show measurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All calls for inspection shall be mede 24 hrs.in edvance-phone 259•8810. � 2.All work shall be peAormed in accordence with this permit end wrrent City ot EvereU Design and Construction Stenderds end Specificationa 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � 4. Inatall rock construction entrance behind driveway ae per city standard #208 and erosion control as directed by Public Worka Q Inapect�r. 5. Keep citY streeta clean at all timea 6. Curb gutter and aidewalk i.� the plat are new and undamaged, � anY damage thereto shall be replaced at the diecretion of the Public Works Inspector. � 7. Any change in the driveway cut must be approved by the PW In- apector, wi3th at prop line limited to existing apron width. O 8. Connect all roof, yard and driveway draina to storm drain system provided to lot. a 9. Adjuet water boxes to grade at end of construction. 10. Drivewaya sha: l be completely cured before driving on them. �,� ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applican�hereby agrees to hold and save harm- less lhe City o' Everetl irom any and all claims for damages, rosts, �L Q� /� �� expenses, or causes of action ihat may arise because of installalion and maintenance of the improvement or other right�of-way use hereto app' d for and lurt er ayrees to remove same upon notice lrom ihe Approv d tor Conslru�tion Date Cil�j �'ro,'re!plac blic property maged thereby. � -�I`��T/►' . �A �� s,,_�,, �,�`,,��,1�- r-�r --� � FINAL INSPECTION � Date '"— Approved as Constructed Signature of A plicant D te WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN � PUBLICWORKSUEPARfMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 32o0CedarStreut BE D:LIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259�8810 PRO.IECT OVER 90 DAYS DURATION.