Laserfiche WebLink
�. � �� <br /> 5-27-93 �— �_�r� Pu�licWarWPermita "� 2 � <br /> Dgt@ BiE9�DeO��• 40751 <br /> Applicetion For <br /> PUBLIC WORKS PERMIT �ublfolaFeaFea , <br /> Leee AppL Fee PeiE � �0 ' <br /> Tn nnc71Nf7 � � g� BelancsDue _ ✓ <br /> Print or Type Only ---''�"r' �1 <br /> LD&D Construrtion 21007 47th Dr SE Bothell WA 98021 485-4344 ) <br /> Owner <br /> MaiNng Address City Zip Phone � . <br /> Owner � <br /> ' Mailing Address City Zip Phone <br /> ' Applicant � <br /> ' ` . <br /> , Describe Proposed Work new house N <br /> W <br /> - / �,� � Z� ��_ Lot 51 Powder Mill II Lot 51 � <br />' � � ��i Project Address(if known) . <br /> , � <br /> i� Attach tour(4)copies of plans tor proposed work• Draw to scale and note the following as epplicable: � <br /> '�' • Property Lines � CeMerline ol street <br /> `{F`>` ' • Outline and dimensions of all existing and • Indicate North <br /> �- � '� � • Show eny proposed grading changes <br /> �� �. � �� .. �i proposed siructures on the lot � Show measurements � M <br /> .;,'e`�''" ; • Exisling and proposed utilities W <br /> ..:�:: � � � DO NOT WRITE BELOW THIS IINE O <br /> I <br /> � PERMITCONDITIONS � � <br /> 1.Afl celis for inspectbn shall be made 24 tva.In advance•pbone 25&8810• !, <br /> 2.All work•�hall be performed in accordance with this permit and curtent City of Everett Design and Constructlon . <br /> StendaMa end Spec�f�cetions. � � <br /> � 3.Cell Location Underground Service 48 hrs.before you di4 TOLL FREE NUMBER 1•800�4245555. , <br />� ,� 4. Inatall rock construction entrance behind driveciaY as per city O <br /> i i etendard it208 and erosion control ae directed'bY Public Worka , <br />; I Inepector. <br />' � 5. Keep city atreets clean at all times � <br /> I 6. Au�b gutter az►d sidewalk in the plat rzre ne� and uc�de�8ed+ � <br /> any damage thereto ahall be rePlaced at the discretion of the <br /> Public Works Inepector- O <br /> j 7. Any chan8e in the driveaay cut must be approved bY the PW In- <br /> �, spector, width at prop line limited to existing aPron width_ <br /> '� g. Connect all roof, Y� �d driveuey drains to atox� cU.'ain A <br /> Ii <br /> j eystem prwided to lot. <br /> I 9. Ad,iust water boxes to 6rade at end of construction. <br /> 10. Driver�ays shall be c�pletely cured before driving on them. <br /> � i � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold anC save harm- <br /> less the City of Everelt irom any and all cleime lor dameges, costs, <br />� �'I expenses, or causes of action that maq arise because of installation <br />��� ��,l�A � I/„_ � � 'J�3 and maintenance of lhe improvement or other rigM•of•way ��se hereto <br /> I rl �,e.r� � applied for and further agrees lo remove same upon notice from lhe <br />�� Date Cily and to replace public property damaged lhereby. <br /> � � ApprovedforConstryction <br /> ./7��./.., ,�,�-- G -/ds"- SL <br /> � FINAL WSPECTION pe�e �a1e <br /> Signature ot APPlicant D WITHIN <br /> r cled I MUST BE <br /> STARTE <br /> ���.. Approved es Const u WORK AUTHORIZED BY THIS PERM T <br /> � DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTT h1AY BE <br /> PUBLIC WORKS MPLETION.THIS PERMI <br /> 3200 Ceder Street BE DILIGENTLY PHE CIN U ON ANY STOPPAGE OF WORK ON THIS <br /> Evere t t W A 9 8 2 0 1 ppp,�ECT OVEF 90 DAYS DURATION. <br /> Phone:259-BB10 <br />