1025 49TH PL SW 2016-01-01 MF Import

i i � Date�s�p � _�_�_ vuoi c wo,hs ac,�rn. Application for aia9 oop� .__ 90/23 06 �., PUBf�IC WOI�KS PERMI�' P��:��W�.�=F�� - �o„�Fe„ s i Less AOPI Pee Pan $ 'I Print or Type Only 8,�,�«o�� s �-�-- Select HOmes P.O. Box 708 Muki.iceo, YiA 98275 827-6196 i Owner Mailing Address City Zip Phonr. � Owner ApPlicant Mailing Adtlress City Zip Phcne I 1�ei Z i New signle family residence, Lot 8, Glenhaven Heights Div—�- Describe Proposed Work ; Proj�ctAddresslitknown� _�_ 7. �� J� � ��}-� (��_/�L�= :)� � � AtteCh four(4) copies of plans lor propesed r�ork- Draw to scale and note Ihe follov�ing as applicable: � • Property Lines • Centerline ol sireet I_ • Outline and dimensions of all existing and • Indicate NorUi VL proposed shur�ures on In,E lot • Show any proposed grading changes • C-xisting and proposed uli�itie_= • Sl�ow measuremEnts � fi0 NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O ?.All calls for inspec!io,shalf bc made 24 hrs.in advance-phone 2�9•$810. � 2..41t work shall be Ge:formed in accordance with this permit and currant City of Ever�tl Design and Construction Standards and S�ecifications. 3.Call Location Underground Service 48 hrs.before you diy.TOLL FREE NUMBER 1•800•424-5555. � 4 . ANY CHANGE IN THE DRIVEWAY CUT MUST BE APPROVED O i BY TH� PUBLIC WORRS INSFECTOR. 5.CONNBCT DOWNSPOUTS TO THRU CURR DRAINS. 6 . KEEP CITY STREETS CLEAN AT ALL TIM6S. � ' 7. ANY DAMAGS TO THE CURB AND SIDEWALB WILL BE RfiPAIP.ED TO THS SATISFACTION OF THE PUBLIC WORKS DEPT. � i O a ,,��I`� Af,KNOWLEDGEMENTOFCONDIPONS � ' _ Tne undersigned owner/applicaN hereby agrees to ho'tl and save harm- ' — less the Gty oi Everett fwm any and all claim;, for damages, costs, '�, expenses. or causes of ac!ion Ihat may arise hecause of installation L� �.��, � � ��L and maiNenance of �he improvement or o�her rghbohway use hereto j Approved forConstruction ' a�e applied f�r and mrther aprees to remove same upon notice trom ihe � City and Io replace public property damac�ed thereby. i , �l -CG�� /—/�'%�9 '/� �� FINAL INSPECTION pd1e � ' '" �-�--1��-� —�c D Approved a5 Construr,;tetl `.,gnature of Applirant �--- ate everett PUP.LICbYUHKSDGPARTMENT WORK AUTHORIZED BY THiS PERMIT MUST 3E STi,RTED WITHIN � 3200CedarStreet 180 DAYS OF DATE PE!7M1T IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGCNTLY PURSUcU TO COMPLETION. THIS PERMIT MAY BC- Phone;259-88t0 CANCELLED BY ThIE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAl'S DURA�IQN.