Laserfiche WebLink
�.-� _ _ __ _____ <br /> �j2te 4-16-93 T� �O JT�N G__�!' �� � Puol c Works Perm�il• �� ,S`' � <br /> �� eme.oeo� • 40268 <br /> Application For <br /> Pl1BLIC W�RKS PER1471� PUbTotlFeeFpe S <br /> Less A001.Fee Paid $ <br /> Balance Duo S ?�Q <br /> Print or Type Only <br /> Dally Homes Inc 3240 Eastlake Ave E Seattle Tr7A 98102 328-3770 <br /> Owner Mziling Address Cily Zip Phone � , <br /> l � <br /> Owner \ 1 <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new hou5e <br /> _ � <br /> � Project Address(if known) <br /> 721 40th P1 Lot 33 � <br /> Altach four(4) copies of pians for proposed work- Draw to scale and note �he following as applicable: � <br /> • Properry Lines • Centerline of slreel � <br /> • Oulline and dimensions of a!I existing and • Indicale North <br /> proposed sVuctures on ihe lot • Show any proposed grading changes <br /> • Existing and proposed uti:itie5 • Show measurements � <br /> DO NOT WRITE BELOW THIS �I�E � <br /> PERMIT CONDITIONS <br /> t.All calls for inspection shall be made 24 hrs.in advance•phone 259-8810. �-� I <br /> 2.All werk shall be performed in accordance with this permit and current Ciry of Everett Design and Construdion <br /> Standards and Specifiwlions. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBEq 1•800•424•5$55. � I <br /> 4. Install rock construction entrance behind driveWay as Fer rity <br /> stand�rd 1�208 and erosion control as directed by Public Works � II <br /> Inspertor. <br /> 5. Keep city atreets clean at all times � I <br /> 6_ G�rb gutter and sideWalk in the plat are nea and undamaged, <br /> �y damage thereto shall be replaced at the discretion of the � <br /> public Works Inspector_ roved bY the PW In- � <br /> 7. Any change in the driveWay cut must l�e aPP � I <br /> spector, Nidth at prop line limited to existing apron width. <br /> ? ard and driveuay drains to storm drain <br /> g_ Connect all roof, y a <br /> syatem provided to lot. <br /> 9_ Ad,iust water twxea to gcade 3tr.ured Y fu etdriving on them. <br /> lp_ Drivecaays ah.�ll tW romFl�tely <br /> �( ACKNOWLF.DGEMENT OF CONDITIONS <br /> � \9 <br /> 'he undersigned ownedapplicant hereby agrees to hold and save harm- <br /> less the Gity of Everetl irom any and all claims for damages, costs, <br /> � expenses, or causes o( action that may arise because of installation <br /> � „ o_ �Gr� 4 Z/_/C� and maintenance of the improvement or other rigM-of-way use he�=_to <br /> wv�..•— J� �"�'� � applied for and further agrees lo remove same upon notice from the <br /> Approved lor Construction �1e Ciry ay[} to replace public property damaged thereby. <br /> , / � <br /> ��-�- ,� -,�_ ,� , � � �� G - �/ - 9 <br /> � r c. �titi o r <br /> FINAL INSPECTION Date Date <br /> Approved as Constructed Sign ture ol Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIM <br /> �Itl� PUBIIC WORKS DEPAflTMENT 180 DAYS OF DATE FERMIT IS ISSUEC AND THEREAFTER IS TO <br /> � 3200 Cedar Slreet BE OILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett,VJA 99207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br /> .z.=> JI <br />