Laserfiche WebLink
Uate 3-25 _93 <br />Application For <br />k !-7.�•4 <br />P�JBLIC WORKS P <br />T����G , r, � (-�rz <br />Print or Type Only <br />Publrc Worxs Permlt • "I I �lif/ / <br />BitlB� �ept • 40031 _ <br />Pu�l¢ Wa�ks Fee <br />Tolal Fee $ <br />Le53Appl. Fee PaiE $ <br />Balanca Oue S ��� <br />Colonv Craft 14410 Bel Red Rd Suite 200 Bellevue WA 98007 <br />Owner Maili�g Address City Zip Phone <br />Owner � <br />7 <br />Applicant Mailing Address City 'Lip Phone--s <br />Describe Pro�ios^•f Work new house �J <br />Proiect Address (if known) <br />6 - 56th P1 SE <br />Attach four (4) copies of plans for proposed work - Draw to scale and note �he following as applicable: <br />• Proper�y Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />• Cen�erline ol street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shal! be made 24 hrs. in advznce - phone 259•8810. <br />2. All work shall be performed in accordance with this permit and cunent City of Everett Design and Construclion <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. <br />4_ Install rock cnnstrurtion Fnt,ranre behind driveWay as �r r•ity <br />otandard �ZOB anri eroaion control as direried by Public Works <br />Inapector. <br />5_ Keep city str•:ets clean at <br />6_ GSirb gutter and sideuaik in <br />any damage theretc� shall be <br />Publir Works Inspector_ <br />7_ Any change in the driveWay <br />apector, Width at prop line <br />8. Connect all roof, yard :�s�d <br />system provided to lot. <br />all times <br />the plat are ne�a and undamaged, <br />replaced at the discretion of the <br />r.ut must be approved by the PW In- <br />limited to exiating apron width. <br />drivPway drains to storm drain <br />9. Adjust water boxes to grade at end of r_onstruction_ <br />10. Driveways shall be r.umpletely cured i:�fore driving on them. <br />w( ��-e� 4-! 2-5� <br />Approved lor ons�rucj 4on Date <br />�/��'��- /"v_/!- SJ <br />FINAL INSPECTION Date <br />Approved as Constructed <br />�ArI�PUBLIC WORKS DEPARTMENT <br />3200 Cedar S!reet <br />EvereB, WA 98201 <br />Phone:259•B81C <br />ACKNOWLEDGEMENT OF CJNDITIONS <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />less the City of Everelt from any and all claims for damages. costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right•of•way use hereto <br />applied for and turther agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />�1,�Q�C�',ti�-2 � ��C;�� Jr-Jr-% <br />nature uf Aoolicant <br />WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br />7B0 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLV PURSUED TO COMP�ETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOP?AGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />