621 40TH PL 2018-01-02 MF Import

Date 3-29-93 \\/_ �0-0 rq —5 Application For PUBLIC WORKS PERMIT TO POSTING_ �o Print or Type Only Dally Homes 3240 Eastlake Ave E Seattle WA 98102 Owner Applicant Describe Proposed Work Project Address la,aov Mailing Address Public Works Permit ♦�J Bldg. Dept.. 4007 Public Works Fee Total Fee $ Lees Appt Fee Paid $ Balance Due $ zoo City Zip Phone (\/� \ ' Lot 40 Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. In advance- phone 259.8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. Install rock construction entrance behind driveway as per city standard #208 and erosion control as directed by Public Works Inspector. 5- Keep city streets clean at 6. Curb gutter and sidewalk i any damage thereto shall be Public Works Inspector- 7. Any change in the driveway Spector, width at prop lime 8. Connect all roof, yard and system provided t 9. Adjust water boxes !G. Driveways shall be o lot. n alltimes the plat are new and undamaged, replaced at the discretion of the cut must be approved by the PW In - limited to existing apron width. drivewaydrains to storm drain to grade at end of construction. completely cured before driving on them - Approved for Co struction Date io-i3.S3 FINAL INSPECTION Date Approved as Constructed J&7TPUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS g Cl) O am The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant -V " Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETQN. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.