Laserfiche WebLink
Date 9/23/93 <br />ro �asriN� ��_ <br />ApPlication For <br />PUBLIC �IVORKS PERM17 <br />Print or Type Only <br />Dave Hanson <br />Owner <br />PublicWo�kSPerm11+ ��/_� <br />YL11/ <br />B�ap. Deo�. • <br />PubLC Works Fee <br />iotal Fee s <br />Less Ao�� Fee PaiE � <br />Balance �ue $ �� <br />�054 N P•;:rk Dr Everett 9820� 259-2950 <br />Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />New house <br />Describe Proposed Work <br />Project Address (if known) ���3 <br />s�� <br />Lot 1 Seabrooke Highlands <br />Attach four (4) copies of plans for proposed work � Draw to scale and note the following as applicable: <br />• Properly Lines <br />• Ou�line and dimensions of all existing and <br />proF�'sed slructures on the lot <br />• Exisling and proposed utilities <br />� Centerline of sireet <br />• Indicate Norih <br />• Show any proposed grading changes <br />• Show measuremenis <br />PF_RMIT CONDITIONS <br />1. All catls tor inspection shall be made 24 hrs. in advance - phone 259•881 O. <br />2. All work shal be performed in accordance with this permit and current City of Everett Gesign and Construction <br />Standards and Specifications. <br />3. Call Location Undergro��nd Service 48 hrs. befon �u dig. TOLL FREE NUMBER 1-800•424•5555. <br />4. Install cock constructio.� entrance behind driveway as per city <br />standard #208 and erosion control as di.rected by Public Works <br />Inspector. <br />5. Keep city str��ete: clean at all times <br />6. Curb gutter and :sidewal.k in the plat are new and undamaged, <br />an� damage thereL-o shall be replaced at the discretion of the <br />Public Wor.ks Ina��ector_ <br />7. AnY change in tha driveway cut must be approved by the PW In- <br />spector, c;�idth at prop line limited to Existing apron width. <br />8. Connect all roof, yard and drivewav drains to storm drain <br />sYstem provided to lot. <br />9. Adjust waier bo:[es to grade at end o£ constrnction_ <br />10. Drivewaps shall be completely cured before driving on them. <br />�CIJ�c.Q� rn � ���- �1� � `(3 <br />Approved lar Consiruction Dale <br />� <br />r7'-/f-%' � <br />�-� _�_--- r <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMEWT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259•8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />� <br />a <br />Tha undersigned owner/applicant hereby agrees to hold and save harm- <br />less il�e City cl Everett from any and all claims for damages, costs. <br />expenses, or r,auses of action that may arise because ol installation <br />antl maintenance o( the improvemeN or other right-of�way use hereto <br />applied for and further agrees to re ove same upon notice lrom the <br />City an�t replace public property�d�maged thereby. <br />$i�nature ol AppliCant vace <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUEC TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PFOJECT OVER 90 DAYS DURATION. <br />