Laserfiche WebLink
; - ;�T�N� `�t � i wr <br /> � ,�1, APPlication For <br /> PUBLIC WORKS PERMIT Date 4/11/96 <br /> PUB�C WORKS DEPARTMENT Public Works Permit k _�l(/�f s I <br /> s•'.^00 Cedar Street <br /> Ever�,t".'A 98201 259-8810 <br /> BuildingPermitp S� .�q <br /> TYPE OR PRINT ONLY � � g g � 8 g 8 g S / <br /> � � g � � � o � Public Works Fee$ L� <br /> COUNTRYWOOD HOMES � 1� ~ N Q <br /> G�0 BEL—RE�R`� e nB�I�EVUE �8067 649-8155 <br /> Owner Mailing �sca ��°.t <br /> � � � � � � F � I� �.5 Z�P Phone �f,� <br /> � <br /> Applicant Mailing dress Cit� N <br /> � Y Z�P °hone <br /> Describe Proposed Work _ NFW Ho SF — BAsrC ] 178 w� <br />, - W <br /> N <br /> - <br /> PROJECTADDRESS(ifknown) s5�6 95TH AVF W � <br /> Tnm 57 � <br /> I� �;,.� •`.�� Aflach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: <br />� . �. •Property Lines 'Outline and dimensions of all exlsting and proposed structures on the lot •6cisting and proposed utilities O <br /> F � Y `r,� •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br /> � , ,� ' <br /> DO NOT WRITE BELOW THIS LINE <br /> a,x d � 'f� , PERMIT CONDITIONS: � <br /> r �""��t'� ' 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br />� � ,, <br /> Ea �„ i�= ` 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and O <br />�,� � , Construction Standards and Specifications. <br />�3:.' ^ �' �` ' • 3. Call Location Under round Service 48 hrs, before ou di . TOLL FREE NUMBER 1-800-424-,i555. <br /> ,�r,•._>_,, . 9 Y 9 � <br /> Y_ � <br /> ! keen city strnets cic�n at all 6mcs. � <br /> 5. C.wb gidler;u�d sidew:dk ui the plal :ac uew a�id wiJamaged, auy d�uu�i�;e tl�ritlo sh�dl be rcpla::C/I 8j QI O <br /> discredon of�he Public W'orks Ir,spector. � <br /> 6. AnV change in the Jriveway c�rt must be approved by the FW Inspeetor, width at prop line limited to <br /> ca�sti��g apron widUi. <br /> ' Adjust water boxes to crade at end of constn:cri�n. <br /> �. l)riveways shall be comp(efely cured before dm�iti�ou them. <br /> 9. Rootlop drainagc �hall Ue discharged: <br /> • to the site's storm drain .rystem (privatc or public) <br /> ' lo a r�sidenti;d roof duwnspout Sysleui dcsiy�ed per secliou 4-9.d of Ihc cily slwid;uils <br /> ' onto splash blocks <br /> 1'he methnd selected�vi11 be subjecf to Public Works]nspec�or approv;�. <br /> �� <br /> A ACKNOWLEDGEMENT OF CONDITIONS <br /> ,�/,(� �� �� The undersigned owner/appllcant hereby agrees to hold and save harmless <br /> �r v i the City of Eveiett from any and all dalms for damages,costs,expenses,or <br /> Approved for�onstruction Date causes of action that may arise because of Installation and malntenance of <br /> // / the improvement or other right-ot-way use hereto applied for and further agrees <br /> �/`� / -'� ro remove same upon notice from the City and to replaoe public property <br /> �NAL INSPhCTION � y"y7 damag thereby. <br /> Date � <br /> Approved as Constructed � <br /> Sig tur of Ap ic nt � Da e <br /> WORK AUTrIORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />