Laserfiche WebLink
Application For <br />�UBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8010 <br />Date 6-23-99 � <br />Public Works Permit M -I u/lf� <br />Building Permit k 62820 <br />TYPE OR PRINT ONLY TO POSTI N G�"" r 4 z� Fublic Works Fee $ � <br />Phinney Const PO Hox 976 Everett 98206 425-290-7573 <br />Owner Mailing Adtlress Ciry Zip Phone <br />Owner <br />Applicant Mailing Address Ciry Zip Phone <br />Describe Proposed Work new house <br />PROJECT ADDRESS (if known) <br />C <br />1 SP 111-99 <br />Attach lour (4) copies plans for proposed work • Draw to scale and note the following if applicable: <br />• Properry Lines • Outline and dimensions of all ezisting and proposed siructures on the lot • Existing and proposed utililies <br />• CenteAine ol street • Indicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calis for inspection shail be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with ihis permit and current City of Everett Design 2nd <br />Consiruction Standards and Specitications. , <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�I_ 54,,,i 11�>ie� dr;"c���av rnunil'to a rock Sill;���l treucl� aloug cme or b�th �id��s ot'tf�e drive«��v- <br />In�t;il� �u� infilh:dfon trcuch huilf as per Sectian t-1.ti.2 ;uici I�i�ure and I'able 3-2.2 ot'fhe ci�v <br />",1��nm4alcrhl.mx�eiuenl 1lsmuaf {copy's s�,ipled to thiti p;nuit). The infitrtdiou lreuch;hall <br />h�� no � lor,er than i feet to uiv up :,iope pront�rtv line or found:diiin nor clo�er than lU feet io <br />:ury dawusiupe propeiiy liu, or f'ounel��uiou. Pot<<dial ad�,��se impact� on existiqG <wd <br />�iro��osed buildinGt mue� he considered ;uid a�•oicL•^d «hsu loc�dinc, intilh�.dion treuches. �':ill <br />�'ublic 14urks for.ui inspeciion prior io cuve.rinc tr:nchr.s. <br />I:�; nn�,l�: I'f�is .tnicture fci> ;�i,�,��,x. �--�q� s�. r�. ��t't���Porvious roofarea. 1�hereio�e <br />it ;i :oil clas; ot lurmey sn��c1 i� asaum:�d �id the inliitration li�:ucli is cou:inicl�.ci <br />��r. �1�cAai�d 3 7. �ti�i�l,r, ii-om tabh: i-2.2 the IrancL s}wnici be �(p t. Loic . <br />li i; ili: d���, Ic�per� responsibility lo identit�� tlie soil clasti in the lield a��d if conditious iu ihe <br />I i;:id ca�y from those in (he exsm�pl �-.ulinsi accordin�ly usin� lfie above-me�diou�:d tabla. sis a <br />�I� . <br />y <br />W <br />� <br />� <br />� <br />O <br />� <br />Y / <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the Ciry of Evereri from any and all claims for damages, costs, expenses, or <br />causes ot actlon that may arise because of installation and maintenance of the <br />improvement or other righl-ol-way use hereto applied tor and lurther agrees to <br />rertwve sameyP on noHce i the City and to replace pubiic property dam- <br />aged the e y.� _ <br />r � a/�j' <br />aur ae <br />WORK AllTFpR�D BY THIS PERMR MUST BE STAFiTED WfTHIN 180 DAYS OF DATF. PERMR IS IS.SUED AND TO BE q:JGENtLY pUFiSUEp 7p <br />COMPLETION. THIS PERMR MAY BE CANC�lED BY T11E CfTY UPON ANY STOPPAGE OF WOfll( ON hNS PRQECTOVER 90 DAYS WRATIqV. <br />