Laserfiche WebLink
Date �-1-93 <br />PUBLIC <br />Print or Type Only <br />� <br />u <br />� <br />o� <br />AppiicatioE(f or <br />WOR�CS <br />�GY� (..� � 713 <br />Owner Mail <br />Q <br />� <br />�- (B-Zb-S <br />TO POSTING -_.�._��.=-�� <br />PERMIT <br />1 n O O V 7 O 61 <br />�����'M <br />; Mall W IIC <br />��� x <br />a�n��d <br />8 O O O 1� <br />� O '+ M <br />� M N � <br />� <br />PuELCWorksParmit• �� •'— � — / <br />eiae. oeo�.• 41 1 R9 -- <br />PuEiic Warks Fee s <br />Total Fee <br />iaa� Rool. Fee Paid S <br />Owner " <br />Applicant <br />Mailing Address Cily Zip Phone <br />Descri6e Proposed Work neW <br />ProiectAddresslifknown) ou.� ..o.� — --- –- <br />Atlach four (4) copies of plans tor proposed work • Draw to scale and note� CeoteWine of streeit able: <br />• PropertY llnes • Indicate North <br />• Outline and dimensions ol all ezisting and � Show any proposed grading changes <br />proposed structures on the lot � Show measurements <br />• Existing and proposed utilities <br />PERMIT CONDITIONS <br />1. All calls for inspection ahall be made 24 hrs. in edvance • phone 259-8810. <br />2. All work shall be perlormed in eccordence with this permit e�d curtenl City ot Everelt Design end Construction <br />Standards end SpecHicetlona <br />3. Call Location Underpround Servlce 48 hrs. before you dig. TOLL FREE NUMBER 1•800� t24•5555. <br />4. Imtall rock conatruction entrance behind drivewaY ae Pe <br />atenderd f208 and erosion control as directed b,7 Public Works <br />Inepector. t 11 timee <br />5. Keep city streete cleen a a <br />B anybd nagerthereto aha?1 be replaced �the�diecretiaon8ofathe <br />Public Works Inepector. <br />'/. Any change in the drivewa,v �t muat be BPPL'O�'ed bY the PW In- <br />spector, width nt prop line limited to exieting apron Width_ <br />g. Connect all roof, yard and drivewr�y draina to etorm drain <br />eyate■ provided to lot. <br />9. Ad3uet water boxea to grade at end of construction_ <br />10. Arive�taYe shall be completely cured before driving on them. <br />� �. DC';vGweu� �a�l haw, a4'u11 daP1h e.zPans�enjetr+l.. 1�sta,led at Kt9ht ��/Ay l�na. <br />ACKNO\VLEDGEMENT OF CONDtTIONS <br />�PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone:259�8810 <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett irom any a��d all claims for damages, costs. <br />expenses, or wuses of action tha' may arise because ol installation <br />and maintenance of the improvement or olher right•oFway use hereto <br />applied tor and further agrees to rcmove same upon nct;ce irom the <br />Ciry and to rePlace Public pr� r damaged�ereby. � <br />rnyiiu����..�, c. <br />B�R AYS OF DATE PERMIT SEISSUED ANDB HE EAFTER ISHTO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />