Laserfiche WebLink
� <br />� <br />TYPE OR PRINT ONLY <br />Owner <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, W.4 98201 259-8810 <br />?(� PQSTING��R 2 2 � <br />Mailing <br />r� <br />Date 10/lfi/97 — <br />Public Works Permk 8 � <br />Building Fe�mit b _ 56784 <br />Public Works Fee $ �.C/ <br />98012 <br />Zip <br />� <br />L <br />Applicant Mailing Address City Zip Phone ` <br />Describe Proposed Work NEW HOUSE — BASIC 1192 <br />PROJECT ADDRESS (if known) <br />ST SW <br />10-�0-97 2:40FM <br />� �67m <br />cUILO 846.75 <br />LOT 54 �CH b0.U0 <br />Attach tour (4) copies of plans for proposed work - Draw to scale and note the following if appticable: DRIVE �0.04 <br />•Property Lines 'Outline and dimensions of all existing and proposed stmctures on the lot •Existr� a6p�dA Tproposed utilitRd� <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measure�:iants� 105.00 <br />vvrvvi WlyllttltLVW Ihl1JLINt SEWER 70.00 <br />PERMIT CONDITIONS: UTILITY 48i.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-881QOTAL 1681.25 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design andCHEF: <br />Construction Standards and Specifications. A OM2558 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />=f Keep city streete clean at ali times. <br />5. Curb gutter and sidewnik in the plat are new and undemaged, nny demage theret <br />chall Ue replaced at the diecretion of the Piibltc Worke inapector. <br />6. My changa in the drivewsy cut must be approved by the Public Works Inapector, <br />tividth at prop iine limited to exieting apron �c:dth <br />'7. �lcijuat w�ter boxes to grede at end of conetructlon. <br />h. Driveumye shall be completely cured before driving on them. <br />4. RooPtop drainege shall be diecharged to the lota infiitration trench as par the city'e <br />"Residantiai RoaP Downspout 9ystem" detail and as per the location informatlon on <br />lhe !ot's site plan. My change in the infiltratlon trenet► murt be epproved by the <br />Pahlic Worke [nopectoa Call for inspwetion prior to covering. <br />W <br />� <br />/�� <br />V♦ <br />� <br />O <br />� <br />� <br />� <br />� <br />O <br />a <br />' ACKNOWLEDGEMENT OF CONDITIONS <br />��� � A,/ �� `/)����� The u� ersigned owneNa �plicant hereby agrees to hold and save harmless <br />�(/� [(/ the Ci oi Everett from an and all claims for damages, costs, expenses, or <br />Ap ro for Construction p— a�T— causes of action that may arise because of installation and maintenance oi <br />�/ the improvement or other right-of-way use hereto applied for and fuAher agrees <br />,�/J,� to remove same upon notice from the City and to replace public property <br />/"' �"'� J./ S- y� damaged thereby. <br />FINAL INSPECTION Date <br />Approved as Constmcted � � <br />Signature of li t Date <br />UTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS BE DILIGENTLY PURSUED TO <br />ETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRWECT OVER 90 DAYS WRATION. <br />