5402 25TH AVE W 2016-01-01 MF Import

2-24-94 ' Z '28 �097 �8te � � � PuGlir.Wo�ke?e�mlt a // Appl' tion FOr � eiep.oect.s 4361 7 PUBLiC W RKS PEF��II��TING_ � s� — PuClic Worke Fee a Totel Fee �ess AppL Fae PeiC .4� Print or Type Only � $ $$ �; $ �y' g g g ee�a�<ao�e S � O ii � M N M O N C I� �` LJ _ Countrywood Homea 14�10 M1-Red Rd ll2 llevie WA 98007 644-2 32 3 Owner Address � � Zip phone � Onwer � � � � � � � � �� Applicant Mailing Address City Zip Phone � < Describe Proposed Work near houae Lot 60 Powder rfill Div 2 N - W Proiect Address(if known) 54u2 25th Ave FI � II Attach four(4) copies of plans for pioposed work• Draw to scale and note the folluwing as applicable: � • Properry Lines • Centerline of street � • Outline and dimensions of alt existing and • Indicate North proposed structurea an the lot • Shoa� any proposed grading changes • Existing and proprsed uti�ities • Sh.ow measurements � IDO NOT WRITE BELOW THIS LINE O PERM!T CONDITIONS 1.Ali calls for Inspection shall be made 24 hrs.in advance•pYone 259•8810. � � � 2.All work shall be peAorn��ed in eccordance with this permf;and current City of Everett Design and Construction ' Standerds end Spe�ificslions. 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-80t)•4245555. 4. leetal rock contlruc��on emraecs behind driwwsy as per cky � standard�208 and er.�sion coMrol as dirccted by Publc Works O I k�spector. 5. Ks�p cily stmets cban at al times 8. Curb gulter and sideYwlc 1n tfi�pl�t aro nwr and undamag�d, � arry damaye there�o ihaA be mp�ed at the discretfon of the � Pubic Works Inspector. 1.Mry chanpe in the drivevaay cut m�st be approysd by the PW In- O :p�dw,width ri prop In�imN�d to �dning apron width. 8. Coenect al rooi,yarA and drivrnny droin�to sfortn dnfn � syttem provided to bt. 9.AdJust w�fer boxes to grade at end o(cons�ruction. 10.DrivMwys shsl be completsy curod betora dAving on thsm. nm ACKNOWLEDGEMENT OF CONDITIONS �C The undersigned owner/applicant hereby agrees to hold and save harm- � less the City of Everett from any and all claims for damages, costs, �� /� expenses, or causes of action that may arise because ot installation / / C� ,7 —3_(�d � and maintenance of lhe improvement or other righbohway use hereto �.., lZ! Y T applied for and further agrees to remove same upon notice from the App oved for C stryction Date City and to replace public property damaged thereby. i � s'� �� '.�- a� 3i14�9� FINAL INSPECTION D e � Approved as Corstructed Signature of Apphcant Date � PUBLIr,WORKS CEPARTMENT WORK AUTHORIZED BY THIS PERMIT UUST BE STARTED WITHIN 320f.�'a:arStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO EveretL WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Phene:2E3-P810 CANG�LLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJF�"T OVEA 90 DAYS DURATION.