5623 10TH DR W 2016-01-01 MF Import

[ I Date�,L7�Cis �E� PQ T PS<ZC-4� � � I � � ,s 1 I N V Pu�lit Ylork.Permil+ � ' ApFlication For oia9.oeoi.. o-. PUBLIC WQRKS:�PERMIT P��=�Y�«SFeP — I :r Tatalfee S � cT: -� Less AG�I.Fee Pub $ q r� Batance0ue S �O Print or Type Only o 0 0 0 0 0 o u 4 r� �_ u� oc, ov� o o .nr_� r_7 ��l r�� 21 n f.:i ,rF O L"� � PI N . .� ,-; s c.a r� c_. a; .,. . — /�iI C�L�/ �I'�Ci� •O ,n rn �a „ _.. `'° �.� /J,t� .,. n .,a � in `�i _'. � O � .., I�.- -IVV�Q Owner Maihng Ad }es� u ,�+t�..'� c� - Zip Phone ."�� I � -� rr. 3 c_ r�; rr� lij -- , �] � L') S'� .Z' LO :]f 7 C� U.I O W Cl L� � --i O G1 G'] f� p U Y-� O F- O -; UJ Ii.i � \ OJJII_IJCr_' (y+ 0 [C � W ^- J:: h-. � fu Cl p.. f�l ffl t_l S 3 YC U� [11 LJ \ L• � A licant Mailing AddrEss Ciry Zip Plione Describe Proposed Work 1\��-�4� 'r l��V� Prolect Address(i( known) �LO/�� 'lI(�V1 �� Il�'� � 4�1 � �ii � `_� L Attach four(4)copies of plans lor proposed work- Draw to scale and note �he following as apU��cable: - • Proper�y Lines • Centerline ol s�reel � • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Ex'sting and proposed utilities • Show measurements � DO NOT WpITE BELOW THIS LINE PERMIT CONDITIONS � 1.All calls k�r inspection shall be made 24 hrs.in advance-phone 259•8810. � ?.All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standard:.and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUPJIBER 1-800•424•5Ci55. � d. koufloN u�aiuuy� sliull Ge uischc�r��cic] iv itic- lols atonn i_iruii� siut� ioca;r.d al ItiC Iroiii of thr: lot. O S. Ke�{� cily sireeis clean al all times. h. Curb gutter and sidewalk in ihe plot are new ard undamaged, any damage ther�to sholl be repiaced al ihe discrelion o( II-ic Public LVorks Inspector. � �. Any ci:anc�e in ihe driveway rut must be opproved by the Public Works InspFctor, widih ol prop line limiied fo vxisfing apron widih. Driveway may t��par �7rad�uily io ♦^ meet �7ar�ge ��oor entranre (for an oppr�ved 3 car garageJ. �� 3. Aujust walei boxes lo yru�e ai end of consiruciian. � 9. Driveways shall be completely cured betore drivinq on fhern. 1Q The re:sidcnce on fhis loi is reyuired to insi�ll a fire Sprin'cler Sy,lr;m. The Sprink(e� a system shall be installed in accordance with the items listed in Sa(t�f�rst Fir�S�stems I�;I Ir,i �Juled I1/30/9d. SNexitically, u 1" minirnum size wuler rnefer shali �e insfc.11ecl; a 1 I,'�" minimum size pipe from the meter to the hovse shall be used; and all sup�ly w�ler {�iiping �r� hvmes sho��lri t�ci run in c;upper pipeq��B�L�€dG�R1E�85'�i��N�frtinl��r,nw for defails. The undersigned owner/applicant hereby agrees to hold and save harm� � less the Gity of Everet� Irom any and all claims for damages, costs, � C � /� expenses, or causes of action that may arise because of installation '/ �, �5� JC-' anC maintenance o� ihe improvement or other right-o4way use hereto � apPiied (or and further ac�rees to remove same upon notice from the Approved tor Construction Date City and to replace public properry daniayed thereby. �.,' / ��'��- l -_-� 7- j i-9 i �Ec,�_ �L� 3 �G �fa FINAL INSPECTION Date Approved as Cons;ructed Signature of Applicant Date PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEC� WITHIN /�� 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA g8201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MqY BE Phone:259-8810 CANCELLED BY THE CIT1'UPON ANY STOPPAGE OF WOFK ON THIS PROJECT OVER 90 DAYS DURATION. . _.._�.�__ - - .�.�rr�+r•<..�---c.-.,.....�sln...__..,.=�