6022 4TH DR W 2016-01-01 MF Import

6/7/93 I� � �'�-4 Date Application For TO POSTING � -is PUBLIC WORKS PERMIT Print or Type Onfy PUEb< Worka Permil • �� L� eiae oso� • 40655 PUEbcWorbFee S Tole� Fee Less R001 Fee Pni� S i BelenCe Cue S C� Select Homes Inc 237 Elm St Everett 9R9oa �Sa_tsn3 Owner Mailing Address City Zip Phone Same Applicant Describe Propo^,ed Work Project Addiess (if known) Mailing Address rlew house - Basic 202 cnv Attach four (4) copies ot plans for proposed work • Draw to scale and note the following as applicable: • Property Lines • Centerline oi street • Outline and dimensions ot all existing and • Indicate Norih proposed structures on the lot • Show any proposed grading changes � Exisling and proposed utilities • Show measurements 7� PERMIT CONDITIONS 1. All cells for (napeclion shall be mede 24 hrs. in edvance • phone 259•8810. 2. All work ahell be performed !� accordance wilh this permit and cunent City of Everett Desig� and Construction ^tenderds end Specifications. 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1•S00•4245555. 4_ Install rock conetruction entrance behind driveway ae per city etanderd it208 and eroeion control as directed by Public Works Inepector. 5. Keep city atreeta clean at all timea 8. C�rb gutter and aidewalk in the plat are new and undamaged, az�v demage thereto ahall be replaced at the discretion of the Publ.ic Worka Inapector. ?. Any cha.ige in the driveway cut must be approved by the PW In- epector. width at prop line iimited to exiating apron width_ 8. Connect all roof, yard and driveway drains to atorm drain eyatem provided to lot. 9. Ad,iust water boxea to grade at end of conatruction. 10. DriveWays ahall be completely cured before driving on them_ �� Approved lor Const�ruy� ion Date �-�� i�•� z '3 3 FINAL INSPECTION Date Approved as Consiructed 1�PUBLIC WORKS DEPARTMENT 3700 Ceda� Sireet Everett, WA �8201 Phone: 259•8070 ACKNOWI.EDGEMENT OF CONDITIONS d L W W F- � � O � � O a The undersigned owner/applicant hereby aqrees to hold and save harm- less the Ciry ol Everelt irom any and all claims lor dameges, costs. eapenses, or causes ot actien that may arise because ot installation and maintenance of the improvement or olher right•of-way use hereto applied tor and Iuriher agrees l0 remo�e Same upon notiCe Irom the Cily and to replace public property damaged �hereby. Signature� ✓ �- � Date WORK AUTHORILED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAiE 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.