5527 25TH AVE W 2016-01-01 MF Import

�� �. �ate 8-18-93 � �—G'v'¢ p�blie Worke Permi�e •� Application For TO POSTI NG � 'I� eiay.oeo�.��.1Z4-6 ' PUBLIC WORKS PERMIT PubToelFeeFee s - � - Less AOCI.Fee Paitl S Print or Type Only ee�e��Bo�a s Z� LD&D Conetruction 'L1007 47th Dr SE Botheli WA 98021 485-4344 � Owner MaiHng Address City Zip Phone N/I ' ; " Owner � � ApplicaM Mailing Address City Zip Phone � Describe Proposed Work new house 't � , Project Address(if known) Jx I � ZS"a'1 � Lot 75 Powder Mill I � - Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � • Property Lines • Centerline of sireet � • Outline and dimensions of all existing and • Indicate Norih praposed st�uctwes on the lot � Show any proposed grading changes • Existing and proposed utilities • Show me2surements � DO NOT WRITE BELOW THIS LINE � � . PERMITCONDITIONS O � � � 7.All calls tor fnspaction shall be made 24 hrs.in advance-phone 259�8810. � . 2.All work shall be performed in eccordance with this permit and current City of Everett Deaign and Construction ' Standards end Specifications. � ' Call Lo at'o Unde ground Servfce 48 hra before you di .TOLL FREE NUMBER 1•800�4245555. � . �. Ina�a�� roc�C conatruction entrance �iehind drivetiay as per city . standard #208 and eroeion control as directed by Public Works Inepector. O ' 5. Keep city streets clean at all times � 6. �rb gutter and aidewalk in the plat are new and undamaged, i any damn8e thereto ei�all be replaced at the diacretion of the � Public Worke Inspector. � 7. Any chenge in the driveway cut muat be approved by the PW In- apector, width at prop line limited to exieting apron Width. O 8. Connect all roof, yard and driveway drains to atorm drain , , sYatem provided to lot. � _ 9. Ad3uet water boxea to grade at end of conatruction. 10. Driveways ahall be completely cured before drivinq on them. ACKNOWLEDGEMENT OF CONDITIONS . � `� The unde�siy �.d ownedapplicant hereby ag�ees to hotd and save harm- �. � less the City of Everetl from any and all claims for damages, costs, ' �/� �� y■� expenses, or causes of action that may arise because of installation I i •T and maintenance of the improvemen' or other right-of-way use hereto applied (or and (urther agrees lo remove same upon notice from the ; Appro ed for Construction Date Ciry and to replace public property damaged thereby. �� .i- s� ? ' FINANA§PECTION DatP ^'� -1 �S Approved as Constructed nature Applicant D e . PUBLICWORKSDEPARTMENT W RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISuUED AND THEREAFTER IS �TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS � PROJECT OVER 90 DAYS DURATION.