Laserfiche WebLink
6/7/93 <br />Date <br />�a- I•-2v�4 � : <br />(� j (`/r� �Puei¢ Woda Pcrmit � _ ` <br />� l� ���I �� � IV U� �';�l 93 eiaq oeoi • 408$-0 3� <br />Application For <br />PUBLIC WORKS PERMIT PuoTolaFeeFee s _ <br />�ess nooi. Fce vem S <br />� <br />Baianca Due � , <br />Print or Type Only - <br />Select Homes Inc 237 Elm St Everett 98203 258-1503 ��� <br />Owner Mailing Address Cily Zip Phone <br />Sa�ue <br />Applicant <br />Address <br />�] <br />� <br />G <br />Describe Proposed Work NeW house — SaSiC 202 _ L� <br />ProlectAddre551ifknown) 7-��� "�"�" ✓�� �v !�v� ic n:,n:,�, <br />Attach four (�) copies of plans for proposed work - Draw lo scale and note the following as appliwhle: <br />• Pioperty Lines <br />• Jutline and dimensions ol all ezisting and <br />proposed structures on the lot <br />• Existing and proposed utililies <br />�� <br />• Centerline ol s�reel <br />• Intlicate North <br />• Show any propcsed grading changes <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be ma�e 24 hrs. in advance • phone 259•8810. <br />2, v.11 work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards end Specifications. <br />3. Call Location Underground Service 48 hrs. befo�e you dig. TOLL FREE NUMBER 1•800-424•5:i55. <br />4. Install rock conetruction entrance behind driveaay ae per city <br />atandard #208 and erosion control as directed by Public Worka <br />Inapector. <br />:i. Keep city streeta clean at all timea <br />8. (�rb gutter and aideaalk in the plat are neW and undamaged, <br />any damage thereto shall be replaced at the diacretion of the <br />Public Worke Inapector. <br />7. Any change in the driveWay cut must be approved by the PW In- <br />apector, Width at prop line limited to ezisting apron Width. <br />8. Connect all roof, yard and driveway drains to storm drain <br />syatem provided to lot. <br />9. Adiust Nater boxee to grade at end of construction. <br />10. DrivecaaYs ahall br. r.ompletely cu:ed before driving on them. <br />App�etl lor ConsiruGlion Date <br />../I��� i'�.� �o d s— i' 3 <br />FINAL INSPECTION Date <br />Approvetl as Consiructed <br />�Ar�PUBI.IC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everetl, WA 98201 <br />Phone:259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />r <br />� <br />� <br />O <br />� <br />Y/ <br />O <br />a <br />The ��ndersigned ownedapplicant hereby agrees to hold and save harm� <br />les�, ihe City ol Everell Irom any and all claims lor damages. cos�s, <br />expenses, or causes of action that may arise becai�se ol installation <br />Tnd maintenance ol the improvement or other righ�•obway use hereto <br />applied for and iuriher agrees to remove seme upon notice Irom ihe <br />City and to replace public property d�maged thereby. <br />' "`��1��3 <br />- cG � i � <br />gnature of AppGcant ate <br />WORK AUiHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PE(iMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. ThIIS PERMIT MAY BE <br />CANCELLED BY TH[ CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVEH PO DAYS DURATION. <br />