5905 3RD DR W 2018-01-02 MF Import

� Date 5-25-93 TOn(T r'T�Ir �` yn_�/ -43 wac wen P.r.n. gwnE _ sap 0.0 . 40685 Application For PUBLIC WORKS PERMIT °rw.:^^° I.ueopl F. P.n S _ e.uae o�. S Print or Type Only %1 Y Select Homes Inc 237 Elm St Everett WA 98203 258-1503 \ ' Owner Mai ling Address Gry Zip Phone Owner Applicant Mailing Address City Zip Phone L Describe Proposed Work new house ) U — W LL/f� F1 1 1 Project Address known) •J'N!� � ✓'/ W Lot 21 Ilanabrook 3 fit Attach tour (4) copies of plans for proposed work • Draw to scale and note the Ic flowing as applicable: • Property Lines • Centerline of street /^ • Outline and dimensions of all existing and 11 In Jicate North V+ proposed structures on the lot • S row any proposed grading changes • Existing and proposed utilities • Show measurements /aA DO NOT WRITE BELOW IHIS LINE O PERMIT CONDITIONS t. All calls for inspection shall 24 it advancem phone259.88y O. Will 2. All work shall be performed in attordanca with this permit and current Lily of Everett Design and Construction a in accordance Standards and Specifications 3. Call Location Underground Service 48 his. balers you dig. TOLL FREE NUMBER 1-800.424.5555. 4. Install rock construction entrance behind driveway as per city standard 0208 and erosion control as directed by Public Works Inspector. O 5. Keep city streets clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto shall be replaced at the discretion of the Public Works Inspector. /A 7. Anv change in the driveway cut must be approved by the PW In- spector, width at prop line limited to existing apron width. O 8. Connect all roof, yard end driveway drains to atom drain system provided to lot. A 9. Adjust water boxes to grade at EPA of construction. lip 10. Driveways shall be completely oared before driving on them. �� 144C I&-. G -7-Y3 Approved lot Constigc Dale FINAL INSPECTION Dale Approved as Constructed PUBLIC WORKS DEPARTMENT aCedar Street Everett WA 9520120t Phone. 259.8610 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 damages costa expenses. or causes of action that may arise because of Installation antl maintenance of the improvement or other right -of vial, use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. ignature of Applicant s ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.