2 56TH PL SE 2016-01-01 MF Import

Date— 4/29/93 /a - I -23--�- Application For PUBLIC WORKSTO P�G i(:� �2l -�3 _ Print or Type Orily Colony Craft 14410 Bel Red Rd Suite 200 Bellevue WA 98007 Owner Zip Pu�lit WO�kS Pe�m11 s ��+ I I 1( / eiag oeP� : 40437 Pu01ic WorkS Fee Toiwl Fee S _ Leas Ao01. Fee Paia $ ealanca Due S �� e• Owner Applicant Mailing Address City Zip Phone -� new house '� Describe Proposed Work � Lot Project Address (if known) Div 2 Atlach four (4) copies of plans for proposed work - Draw to scale and note �he following as applicable: • Property �ines • Centerline of streel i Out!ine and dimensions of all existing and • Indicate Norih proposed slructures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements 4 5 6 7 8 9 10 for L PEFMIT CONDITIONS 1. AI! calis for inspection shell be made 24 hrs. in advance • pYione 259•8810. 2. All work shall be peAormed ir, accordance wi�h, this permit and current City ot Everett �esign and Construction Stantlards and Specifications. 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555. install rock conatruction entr�nce behind driveway as per city standard 1t208 and erosion control as directed by Publir Worka Inspector. Keep city streets clean at all times (,5.+.rb gutter and sidewalk in the plat are neW and undamaged, any damage thereto shall be replaced at the discretion of the Public Worka Inspector. Any change in the driveway cut must be approved irv the PW In- spector, width at prop line limited to existing apron width. Connect all rouf, yard and drivewav drains to atorm drain syatem provided to int. Adjust water bo�cea to �rade at end of ronatruction. Driveways ahall be compl.etel.y rured before driving on them. 'IZ-�3 Date ,/(V�x�� - /�3 FINAL INSPECTION Date Apprcved as Constructed ��PUBLIC WORKS DEPARTMENT 3200 CedarStreet Everett, WA 98207 Phone: 259-8810 � O ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm� less the City ef Everett Irom any and all claims for damages, costs, expenses, or causes of action thal may arise because of installation and main'enance of the improvement or other right-of•way use hereto applied for and further a9rees lo remove same upon notice from the � y ai replacg�blic property,damaged thereby. �-- �CJ�'� i3 3 Sio�at re of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE START'D WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAfTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STUPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.