8332 UPPER RIDGE RD A-B C-D 2016-01-01 MF Import

� n/' Date �'��3 ' (Z v� � Pu01¢1Vorhf Permil a � O� Application For F�� TI NG -1 �'ae oeci..�J,�`��`�' 3� '> PUBLIC WORKS PERNIIT Pu�TOIrIFeeFec 5 Less nooi.Fee aa�a 5 �tCu� 9aianceDue S -/Jr Print or Type Only �r�an C-a�istructi-�e�� Qo�o,cZi53 �e�rc��Ua �f�2U; ��5L�57�i Own r Mailing Atldress City 2ip Phone C:'wne�- Applicant Mailing Address City Zip Phone Describe P�oposed Work Y�� U1�iv5 __ ��2 r�, W Prolecl Address(if known) �%3�� A 1/G� U PPE)Z. ��i�C.3E �� L r Attach low 14) copies of plans lor proposed work- Draw to scale antl nofe �he following as applicable: � • Properly Llnes • Centerline ol streel /w • Outline and dimensions ol all existing antl • Indicate North V, proposetl s�ructures qn the lot • Show any proposed grading changes • Exisling and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 7.All calls lor inspection shall be made 24 hrs.in advance•phone 259•8810. � 2.All work shall be pertormed in accordance with this permit and current City ol Everett Design and Construction Standards and Specifications. 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-800•424•5555. � �. ITlAtal� r�r.k const,ri�r_tion Pntranr_e hB�llil(� �i']VAN3V 89 FC'P Cl.ty St.en�iard f1208 and r.roei.on rontro]. as direr.ted by H�blic Worka O JfIfiF'h%r�SOP. 5. Yif;(?j1 CIt.V St.r'P.P.�.9 f`]P,8i1 8t B].]_ t1Ii1P8 6. S�wer, waier and drainage util.ities are to accesa Upper Ridge L Rr3. - N�„1 ar,cess N711 YX,' allowed to l;asi.no under retaining Wall. r 7. Rxisting 4" side newer nust be removed and replared With 6" PVC '^ as F�r st,d plan G01 and ser.t;ion 6.12 of the atandard manual_ �� R. A st.d p]an 403 t.ype�B'C.}s. with :�td plan 410 floatable material O separ�tr�r :�ha] ] be inst.alled in the drivexay to rol7ect rooftop � and driveusy runoff and r_onner.ted to a dead-end inlet �wr atd plans 401., 405 $ 40tiA lor_ated at the gutter line of the curb return at lasino Fi Upper Rid�e - Call Carrol Tol]efson at 339-7404 F,ef.ore starting any work for a pre-conatiruction conf. ACKNOWLEDG[MENT OF CONDITIONS l 7he undersignetl owneVapplicant hereby agrees�o hold and save harm� less Ihe Gty of Everett irom any and all claims lor damages. costs. �� expenses. or causes of aclion ihat may arise because ol installation �7 and main�enanGe of the improvement or other righbobway use herelo — � - `' ''�4� �' app ied lor nd further agrees to remove same upon notice Irom the Approy A tor C�onstruai ! Oate �� h� place public property damaged thereby. / � % �- C � � � /.,� ��:�/� 1 l I I FINAL INSPECTION � Date Approved as Consiructed Signatur ol Applicant Dale � PUBLIC WORKS DEPARTMENT WORK �UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIPJ 180 DAYS OF DATE PEF7MIT IS ISSUED AND THEREAfTER IS TO �� 3200 Cedar Sireet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8E Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259�8810 pqOJECT OVEF 90 DAYS UURATION.