716 41ST PL 2018-01-02 MF Import

2/24/92 Date Application For PUBLIC WORK Print or Type Only Dally Homes jn DACTIMC S PERMIT 12-17-qz 3240 Eastlake Ave E Ste 200 Seat Owner Mailing Address r. tccity cip; rnune rrC Describe Proposed Work Address Pro Project Address (if known) ! ) o — n I Ex 9C 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. LIN i BS%%#98102 Public Works Pe'357, QU A Bldg. Dept +• JJ Public Works Fee Total Fee $ -- Less APPr Fee Paid $ Belence Due s 9 d 328-3770 Install rock construction entrance behind driveway as per city standard #208 and erosion control as directed by Public Works ( j� Inspector, d/ Keep city streets clean at all times Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto shall be replaced at the discretion of the e w Public Works Inspector. y, Any change in the driveway cut must be approved by the PW In- spector, width at prop line limited to existing apron width. Connect all roof, yard and driveway drains to storm drain stubs at back side of sidewalk when availiable or build infiltration trench as per PW Inspectors approval. Adjust water boxes to grade at end of construction. Driveways shoji be completely cured beforeACKNOWLEDGEMENT OF CONDITIONS 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 I� V"" �G V_ ^ LSL-rL ` ^-3 /q2 and maintenance of the improvement or other right-of•way use hereto I" 1 / applied for and further agrees to remove same upon notice from the Approved for Construction Date City and to replace public property damaged thereby. Fr FINAL INSPECTION Date y DatB"r Approved as Constructed Signature of Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Everett, WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone: 259.8810 PROJECT OVER 90 DAYS DURATION.