6201 2ND DR SE 2016-01-01 MF Import

% Date G-21-90 Pub�¢Worhe Pormu• L �30'� � Anplica�ion For Bma.Oept . qf�7d917 PUB�IC: WaRKS PERMIT P�ei��wo�karee iotnl Fee s U O �!55 PYO��F!u PBItl s u O O O O r� O O � 4 .� � .n Pfint of Typ9 Only i r' �'.o..� o� n o o c� o rn BalnnceDue S �-�`-'— . o� v�or? ,: o 0 ooc� N �, y v�U r:� .,, tn w«> w �: `n°� � .~-� � v�i Q] yi tli Ll ry North Crest Dey� Corpo" 16212 Hothell�Vay�E #F129� Mill Creek 98012 338-1486 Owner '� �cii Alailing.-Addresso i�,i o-. . . i� �ity ZiP Phone r, n c� ��x � _s o "w o w --� � r oo mr�.� u» or- � 3oc- w \ f,� J J b 1 J i c O Q O LL I �+ 2 OJ 1r u1 2 T_�_ u] p YG 3 � [n �::] � r� - !1_mPY � — __ _ — _ -- Applicant Mailing Adtlress City Zip Phone - � Describe Proposed Work New SFR LOT 3�{ 2..T � � W ProjectAddresslifknown) �701 – 2nA nr SF. � Atlach four(4)copies of plans lor proposed work- Draw lo scale and note the lollowing as apP�icable: � • Properry Lines • Centerline ot streel � • Outline and dimersions ot all existing and • Indicate Norih proposed structures on the lot • Show any proposetl�rading changes • Ezisting and proposed utilities • Show measuremen�s � DO NOT WRITE BELOW THIS LINE PERMITCONDITIONS O 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•8810. � 2.All work shall be pedormed in accordance with ihis pemit and current City ot Everefl Design and Construction Standards end Specifications. 'i,�all Location Underground Service 48 hrs.before you dig.TOLL FAEE NUMF ER 1-800•424-5555. � 4.ANY CHANGE IN THE DRIVfiWAY ��T MUST BE APFROVED O BY THfi PUBLIC WORKS INSPECTOR. 5.CONNECT DOWNSPOUTS TO PUSLIC 1'iRAINAGE SYSTEM. � S.KEfiP CITY STREETS CLEAN AT ALL TIP1fiS. 7.ANY DAMAGE TO THE CURB AND SIDEWALK WILL BE RfiPAIRED ♦A TO THE SATISFACTION OF THE PUBLIC WORKS DEPT. �� O a N`L�lll/ A� - '�.�)WLEDGEMENTOPCONDITIONS Vi The undersigned owner/applicant here6y agrees to hold and save harm� less the City of Everett Irom any and all claims lor damages, cosls. expen;es, or causes ol aclion thal may arise because of installation �_ 0 _�c.�2_ �–ZC�–c�� and maintenance of ihe impwvement oi other righbobway use hereto C.U�J�- applied lor and furlher agrees to remove same upon notice liom ihe Approved for Consiruction Date Ciry and to replace public property damage�l �hereby. -�/,.%��L .=- J:i� ,, � �.�., ,� ,�_�-'�.-_ �' �3/9v FINAL INSPECTION Date Approved as Consiructed Signalure ol Applicant ' Oate everett PU�LICWOPKSL[PAFiTMENT WORK AUTHORI2ED BY TI115 PERMIT MUST BE START[D WITHIN � 3200CedarStreet 1B0 OAVS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS 70 Everett,WA 98201 OE DILIGENTLY PURSUED TO COh1PLETION. THIS PERMII� MAV 8[ Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATIOtJ.