Laserfiche WebLink
11-5-4s Application For rn pnC OC7 <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />P�ux wonx Pamn . l) / <br />ewe 0.0 . <br />wem won. is. <br />I.., Fs. <br />f <br />lo..FFI F.. Pne S <br />exam. DI. S%G <br />Prolect Address 01 known) �a`u <br />x.ux 11 <br />Attach lour 14f copies of plans for proposed work- Draw to scale <br />and note the following as applicable: <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hire. in advance- phone 259.8810. <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications <br />3. Call Location Underground Service 48 hra before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />4. Install rock construction entrance behind driveway as per city <br />standard 020B and erosion control ss directed by Public Works <br />Inspector. <br />5. Keep city streets clean at all times <br />6. Cub gutter and sidewalk in the plat are new and undamaged, <br />any damage thereto shall be replaced at the discretion of the <br />Public Works Inspector. <br />7. Any change in the driveway cut must be approved by the PW In- <br />spector, width at prop line limited to existing apron width. <br />a. Connect all roof, yard and driveway drains to atom drain <br />system provided to lot. <br />9. Adjust water boxes to grade at end of construction. <br />.0. Driveways shall be completely cured be'3re driving on them. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned Owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims lot damages. costa <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ol-way use hereto <br />applied for and further agrees to remove SaTt upon notice from the <br />City find to replace public property damaged foreby. <br />kpproved as Constructed I- Signature of Applicant r / Pale <br />PUBLIC WORKS DEPARTMENT WORK AUTHORIZEDDATE BY THIMIT PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street BE <br />DAYS TL DATE PERMIT IS IMBUED AND THEREAFTER IS TO <br />Evers. WA 982CI BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY <br />Phone: 269.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORN ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />