6326 2ND DR SE 2016-01-01 MF Import

_ � Da�e �?q—('�n +� Pubim Worxa Pxrmil• N/z43 eiee o�o�.. 90/24687 � Applicalion For r, PUB�.IC WORKS PERMIT °°°��°W°��=�Ce To�a1Fce s � Le55A�p1 F.•ePritl S O p O �Jacl � O 0 �j N p p O O C, Ip Balance Di.e S wY/^ Print or 'fype Only�r r. o��n o o-o ri o o re� ra o tn u� �n �� u r? .. —• o� in .��. us �. n r- ., a� �+� A �. UT Ll l'! N �J P � r, Universe Con5�',' '° 2529 �-la��h ..Bmth 1� Q80� 4Gir�366 Owner � �� 1M,@1�it9�QS�lg�i,i -+ �i City Zip Phone p O 0.1 W � i t C� 2 � W r� .+ S N rt� G] 2. LO] C] a R �.: U) Cu •'� tl Owner � ApplicaM Mailing Address Cily Zip Phone Describe Proposed Work New Sin41e fa;nily resi.lence _ W Project Address lil known) r * a�8 _ u'd wood Terrace �3$ - 2.�o DIZ SE L r Aflach lour(4)copies of plans for propused work� Draw to scale and note ihe following as applica6le: � • property Lines • Centerline ot stia�i � • Outline and dimensions ol all existing anA • Indicate Norih proposed structures on Ihe lot • Show any proposed grading changes • [xisting and proposed ulilities • Show measurements � ��_ DO NOT WRITE BELOW THIS LIN[ PERMIT CONDITIONS O -;.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � 2.All work shall be peAormed in accordance with�his permit and Current Cily of Everett Design and Construction utandards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � 4.ANY CHA!�GR IN THE DRIVEWAY CUT MUST SE APPROVED O BY THE ?UBLIC WORKS INSPECTOR. 5.CONNECT DOWNSPOUTS TO PUBLIC DRAINAGE SYSTEM. Iw 6.KEEP CITY STRfifiTS CLEAN AT ALL TIMfiS. � 7.ANY DPMAGfi TO THE CURB AND SIDfiWALK WILL Bfi REPAIR6D TO THE SATISFACTIUN OF THE PUBLIC WORKS DEPT. O a ACKNOWLEDGEMENT Of CONDITIONS The undersigned ownedapplicant hereby agrees to holU and save harm- less ihe City ol Everetl Irom 2ny and all claims lor damac�es. costs, expenses, or causes ol ac�ion that may arise because ol ins�allation �� n 1� (_ and main�enance ol ihe improvement or nihar right-of�way use herelo �i� y �V� �"�-Q— v �J— � applied lor and I riher a reEs to rcmove same upon notice Irom �hA Approved tor Con5lrudion .� Date City and to pl e pub� roperty damaged Ihereby. L.s /!— /'2 � 'S/ 9 . FINAL INJPECTION Date � App oved as Consiructed ignature ol Applic ' Date WORK AUTHORI2ED BY T�HIS PERMIT MUST BE STARTED WITHIN everett PU�LICWORKSOEPARiMENT 180 �AYS OF DA7E PERMIT IS SSUED AND THEREAFTf_R IS TO � 3200CedarStreet BE DILIGENTLY PURSU[D TO COMPLLTION. THIS PEPMIT MAY BE Everett,WA 98201 CANCELLED BY T;iE CITY UP01J ANY STOPPAGE OF WORK ON THIS Phone:259�8810 PROJECT OVER 90 DAYS DURATiUN.