Laserfiche WebLink
(///' % <br /> Date 1`� !� Pu01 c Worh6 Permi�• g3�y�� / <br /> ApplicationFor I�ry�l �'(�STI�IG �_�5 ei000eoi.. <br /> PUBLI� WORKS PERMIT P�b�,�wo«sF« <br /> ' <br /> io�el Fee s <br /> �- Less Aocl.Fee Pne s <br /> i'': �7- <br /> Print or Type Only " � � , ,ea�a��e��< S Lt'� <br /> „ �:.� �, �, �; <br /> ,� �,, . , �`� �, ��. �, �:_ ., <br /> aT <br /> Ll Y ' - <br /> n ci .�� �_ r: � �i. r�. <br /> Sfeve Ciine 861U Maplewood I.ane �Edtn�+nds, ' Wti �z9t3U�b <br /> Owner Mailing Atldress {;: -.., er' City - �. d Zip Phonr. <br /> _t r:-. ir t�� � <br /> p'7 i_. , �[� : � r.� w r� r-.i <br /> f_i •'i �.�� r�� : 3 UJ LJ <br /> :�:I t I i I I�`I � -. V I � ]' <br /> .J �: � i n n. ri, �o � — . 'ro r_, <br /> Applicant Mailing AAdress � Pily Zip Phone <br /> House <br /> Describe Proposed Work <br /> Lot 2 City of Everett Short Plat �1202-30-94 <br /> - ea urst�nue W <br /> Froject Address(il know�i) _ � <br /> Aitach four(4)copies of plans lor proposed work- Dr.,:��to swle and note me lollowing as apUlicable: �� <br /> • Prcperty Lines • CeMeoine oi street � <br /> • OutLne and dimensions oi all ezisting and • Ir,�icate North <br /> proposea ai�cctwes on�he lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All calls for inspection shall be made 24 hrs.in advance•phone 259•e810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Cali Location Underpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> ' � 1 Q�L��I.PIc�r���-- O <br /> s • � . <br /> r s a �i�r t�'�Y�►11u1tijR�� <br /> G. f'rovide 4 ofF street parkin!� spaccs per uni�. - � <br /> 7. An individval pressure red�cing valvc must be installed on ihc <br /> waler service. �/� <br /> 8. Rooflop drainage shall be discharged �o an in(iliraliori irench i�s ��� <br /> per The "Residential Roof Downspout Syztem" detail and as per ihe O <br /> sizing table III-3.2. A pr�conslrur_tion meeling musi be scheduled � <br /> with Dennis Gabelman (339-7403 mob. or 259-(3f310 office) prior to <br /> ir�stallation of ihe infiliration syslem <br /> ACKNON'LEDG[MENT OF CONDITIONS <br /> The undersigned owneri apolicant hen•by ugrees to hold and save harm� <br /> — less the Gty of Eve�ult Irom any and all claims lor damages. cosis. <br /> � r expenses, or causas �I aclion that may arise because of installation <br /> u/,/ and mainlenance o� �he imFrnven�en�?r o�her righbobway use hereto <br /> —/.� applieA for and further agrees r ovwe same upon notice irom ihe <br /> Appr v or Construction ate �ity and to replace publir,pr e dahmqed ihereby. <br /> �,�`.�_�_ 5'/- ��— '� �� _'� �.,C 2. 1445 <br /> FINAL INSPECTION Date �� <br /> � Approved as Conslructed Signat of Applic '� a e <br /> � PUBLIC WORKSDEPARTMENT WO AUTHORIZED RY TNIS PERMIT MUST BE STARTEC WITHIN <br /> 3200CedarStreet —180 DAYS OP DATE PEFhUT IS 13SUED AND THEREAFTEA IS TO <br /> Everett,WA 98201 BE DILIGENTIY PURSUi.D TO COMPLETION. THIS PERMIT A1AY BE <br /> Phone:259-8810 CANCELLED BY THE GI7Y UPON ANV STOPPAGE OF WORK OI I THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />