5702 10TH DR W 2016-01-01 MF Import

.—� /��/ + ,� i Da�e �.^ ��"n �NG � Publ¢Works Permil a �� D�� ApplicationFor, • o9.oePi.: 47oC�q PIJBLIC WORKS PERM17 Pu01¢Ylc�ksFec To�nl Fca S—_ I'i less Appl.Fee Paie '�J �; 2 �_ Print or T @ Ofl� � � o c� u n o r n .�r, �_, eaiauoo„a S YP Y i�_ _ O O G Ifl O r_� r:, i � � � �:J J' NtO b3' � O C] (,� •y, �i :- ,ri ,o ,-+ ,n ra r; r- �n � .+ ci. M bs W� y .r. '- M i�R .: ,�1��.� ��f'I"t�.5 �✓IG � `� YL o: �'- � 2 n / f� < - r. y � � l � —1�l�W Owner Mailing A��tlieso c� r, s ' �t�r o � �J „ Zip Phone � � � til O Ia.l Gr Li . . � O vii] G:i .- t, �' G V-- O _iU.� 41 � �� 4 _l W .Ifr_' G_' G Q. O W .. ;y , r,� Ci. 1" fi:i fn c.'] 3C ; �.' U) [A Lt � ApplicaM Mailing Adtlress City Zip Phone I ` Describe Proposed Work ��5� \v f �� Project Address(if known) 5�Oz -• 10 th Dr W � Atiach four(4) copies of plans for proposed work- Draw lo scale and note the folloviinq as applicable: � • Property Lines • Centerline of streel � • Outline and dimensions of all existing and • Indicate Norih proposed structures on the lot • Sho�v any proposed grading changes • Existinp and proposed utilities • Show measurements � �� DO NUT WRITE BELGW THIS LINE PERN.IT CONDITIONS o t.All calls for inspection shNl be made 24 hrs.i�advance-phone 259•8810. � 2.All work shall be pedormed in accordance with this permit and current City of Everetl Desi9n and Construction Standards and Specifications. 3.Cail Location Underground Service 48 hrs,before you dig.TOLL FREE NUMBER 1•800•424-5555. � i. F�uuN city aliu�h �IUuii ul ilil IiIllila. �' 5. Curb pullor and sidewnik In Iho plat a�a new and undornapod, any damapo Ihm�to shall bo roplacod af � Ihe dLcroflon of Ih¢ Pubiic WorV:: inspoctor. � d. Any chanpe i� tha drivoway cut must bo approvod by fho Public Works Inspor.tor, width at prop linr� Iimil¢d fe nxistlnr� npron wldlh. Drivr.way may fopnr pr�doalty fn meet qnrn�o door r.nlranr.0 ((or nn approvnd 3 car garago). �� L Ad�usf walor boxes lo pwdo af ond of ronslructlon. � 8. Driv�wayc shall b� compie�ely curad boforo drlvinp on Ihem. './ '� 9. Ruollvp dralnage sha�l be discharged lo ihu lols intlitratlon tranch as P�r Iha 'R�sidanli�l Ruc,i \/' � Downspovl Syslam' dofail (allach�d� and as por Ihe sizinp and locallon informnlion on Ih� lol's siln plan. A ��; preconsfruclion meclinp must be scheduled with/tinn I.ocl;r. (306-?655 mob. or 259-0810 oHlc�) prlor to �IR,� inslallation of Ihu IntiUration sysiom. Any chanqo In th� infilirniion Irench must bo approvod by Iho Pubtic � Wnrk.s Inspector. lo.ih� rasidenr.c on this iot Is �aqu{red lo install a Flea"pdnY,i�� Syste�m. Tho Spdnkler systom shnll bo Inslalled 'n �� accordanco with Ib� Iloms Ilslod In Saf�HrslFlra Systn_ms lottur dnl��d I I/;10ly�. Speziflcally, u 1"minimum sizo walr.r melr.r;h011 hR If151[llir,d; p 1 I/2^minlmom sizo pipo {rom Iho malor lo Ihe house shnll bo Used; unJ all supuly wutm plpinu lo homes sliould bc run in cuppar pip@4lSNElYP1c�lA�M�iNti9F UG`��dIZIQ(�$or dMoils. The undersigned owner/applicanl hereby agrees to hold and save harm- less the City of Everet� Irom any and all claims for dama�es, costs, � � ��LLL enpenses, or causes of action ihat may arise ber.ausc of installation ///p �Z/(�'� and maintenance of ihe improvement or other right-obway use hereto `"�� applied lor and lurther agrees to remove same upon notice from Ihe Approved forConstryGtion ' Date / City and to replace public property damaged iherety. / / ,��.�� L ' 7 9r � � �/�S FINAL INSPECTION Da�e Approved as Con�Vucted Signature of Appl- nt Date PUBLIC WORKS DEFARTMENT WORK AUTHORI D BY THIS PERMIT MUST BE STARTE� WITHIN �J 3200CedarStreet ld� UAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 13 TO �� Everett�WA98201 BE ^ILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:259-8810 CANCt!LED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIR PHOJECT GVER 90 DAYS DURATION.