5401 25TH AVE W 2016-01-01 MF Import

Date 1/20/94 }j. P eucWorkeFnmit• � � / TO POSTING.�—�_. . oe�. »_ 43314 I P.pplication For -" ��, PUBLIC WORKS P RMIT PuUlicWorkaFee Totei Fee S ' Leas AOV�Fee Paitl S � i z g $ $ g � S � S g a ceoue S ' il Print or Type Only � � � I � � � � M � � » � � � �. Countrywood Home� 14410 Bel-Red Rd 112�0 $�IRevue 98007 '"64 2323 '~" Owner +�lailing Adtlress �'� Cit � � Phone � S�e � � � � �� �'I . , Applicant Mai�ing Address City Zip Phone {� I i � i t I Describe Proposed Work ._. _ New house – Basic 244 � , ' ; � W � Project Address(if known� _. 5401 25th Ave W Lot 61 Powder Mill Div 2 � ' Attach four(4)copies of plans for proposed work- Draw to scale and note the�ollowing as applicable: � • PropeAy Lines . • Centerline of street � • Outline and dimensions ol all existing and • Indicate North proposed siructures on lhe lot� • Shnw any proposed grading changes • Existing and proposed utilities • Show measurements M W DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS � ' 1.All calle for inspectbn shall be made 24 hrs.in advance-phone 259-8810. 2.All work shall be performed in accordance with this permit and current City of Everett Deslgn and Construction . � : Standarde and Speciticetions. � 3.Call Location Underoround Service 48 hra before you dig.TOLL PREE NUMBER 1•800-4245555. � 4. Indal rock consUuction�Mnnce behind drivev�sy as per city O �md�rd�208 md�ro:ion coMroi as dirocted by Publc Works � Ynpector. ( 5.Ks�p cNy droets cMm at al timea � 's 6.Curb qWbr and sidwwlc in the pat aro new snd unda��yaged, any damape iheroto shal ba ropl�ced a!the discrotfon of the � � Pubic Works In:p�ctor. 1.Arry chanye in the drivev+ay cul must be approved by the PW In- O � spector,widlh st prop ins imNed to e�ddiep apron widlh. I 8.Connect al roof,yard and ddverwy dnins to siorm dnin � � sytlem provid�d to bt. ` Y,Adjust water boxes to pnds at end of construction. 10.Drhrov�ays shal bs compMtsy curcd beforo d�iving on them. �.. - �� . � ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/aGP�icant hereby agrees to hold and save harm- less ihe City of Everelt from any and all claims tor damages, cosis, . � expenses, or causes ot action that may arise because of instailation � 2�/�� and maintenance of ihe improvement or other right•of•way use hereto p�(� pj �/ � � applied for and furiher agrees lo remove same upon notice from ihe ' App ved for onstruction Date City and to replace pubiic properly damaged thereby. — �,e�',..— �-��-,y ,�i�►�. � l'.d-� z/ ► / �4 FINAL INSPECTION Date Date Approved as Constructed Signature of Applic nt � WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO 3200CederStreet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Everett WA 98201 CANCELLED BY THE C1TY UPON ANY STOPPAGE OF WORK ON THIS Phone:25&8810 PROJECT OVER 90 DAYS DURATION.