5812 10TH DR W 2016-01-01 MF Import

Date ..._,1._._._.. . • -••� ---...:T..�..... :.��..._... _ _� ..i._' Sd.. '"' ".- ._Gub46Wo'rA�Pnrmi4i-. iC . ��/� tib N(ihftsV6ti h� tlir.. F'ltb��C LVo[ICd 1t1gpSCCUC. . . eiay.oeo�.• � .-- App6cahon For PUBLIC WORKS�PEf�.IV�I6�`TpN� � y� y„ P°°'1N10fk5Fe0 - R l l. � l.J:t[��\� �..�-.�4t(. `.! Le.s 4001 Fee Pair S- O — (_; � O C.:� C� G n U n O G C7 C� �]Bsiancc Duc 5 -� � Print or Type Only c� r� n o n o �n �ri o rn c� t.. �;_ ,. . . , , ) r, m r- o n o :� <- n �� ri� c� .r '� . r, r� [� �u �.ia� _. ai �.i .., r- no-. il W l^. 1 Y: L^ M' U: "} N L A l�yt J SP�I�L� N01�1LS 1�� ► Z.�� . �-�i ��e�t�l �ere� T;g2a�- 5� 3 - 900 � �,�." Owner MaihngAd`�� Cit� o� �� Z�p : Phone �---- ,+ [H� t n i.: ..'. r�: i..� iri o c� c� :� -:- x c.� r > r_, i�. �3 i�i r_n u oa oocouiS � ctic? �-� ot-- c, ; rni,.i ��. O .1 J W W I�J J 'v_ ii�: O cT. [') L�.I - 1. J' YC fil f/.. J:, >= Y_ (A. fl1 C] YF �3 _:: U'I U) (� Applicant Mailing Address Cily Zip Phone 1 �)1�� <: Describe Proposed Work � �., �7 W Project Address(if known) Jv�� O✓' '�—_ �'�'V ,f" `�1 �� Attach four(4) copies of plans for proposed work- Drew to scale and note �ne following as apUlicable: � • Properry Lines • Centerline cf s�reet /^ • Outline and dimensions of all existing and • Indicate North V� proposed structures on the lol • Show any proposed grading changes • Existing and proposed utilities • Show measurements � DO NOT WRITE BELOW THIS LINE � PERMIT CONDITIONS 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8$10. � 2.All work shall be periormed in accordance with ihis permit and current City of Everelt Design and Consiruction Standards and Specitications. 3.Call Location Underground Ser�ice 48 hrs.before you dig.TOLL FREE NUMkIER 1-800•424•5555. � -�. 4.aop city atreats ::lean at al! timea. � o. Curb g�ztter and aidswalk in the plat are ne�v and undemaged, any ciamaga thereto siiall Le repinced at ttie ctiecretion of the PuL•lic Works Inepector. 6. Any change in tric drive�vay cut mu�:t he approved by the Public Works Inepector, � tvidth at prop line :imited to errieting apron �vidth. Drivetva,y cnay taper graduall,y t tns�t garage door eutrnnca (for an approved 3 car g�arage). /^ Y. �idjust wxter boxes ta gracfe et end of construction. V� S Drlveways chall be completaly aurel before driving on them. O 9. Rooftop drainage shall be diacharged to the lots inH►tration trecvch as per the "Residenl'iel Roof Downspnut Sy�tem" deLail (attached) and us per the sizing and � location infnrmnkInn on the loYs�ite plan. A preconstruction meeting muRt be sc:neduled with dennie Gableman (339-7403 mob. oa 259-8510 ofticej prior 'ro inetallntion of the inCltraYinn system. Any change in the in�ltratien trench must be Rpproved bM '-h� PUblic WOrkB ItiGpeCt01'. q�1;NOWLEDGEMEN7 GF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- — -- less the Gry of Everett Irom any and all oaims for damages, costs, ///1 // / expenses. or causes of action that may ari;e because ol installation �//A. � �/'�i//� /�/�/�� and maintenancc of G e improvement or other right�of-way use hereto 7 G��,t,r�- ��r�� l applied for and further aqrees tc remove same upon notice from the Approved for / struct�o —��e City and to replace public property damaged thereby. (�%� �-3� -� i _��..�.�� zs-9s FINAL itJSPECTION Dale Approved as Constructec Signature o(Applicant Date � PUBLIC WORKS DEPARTMFNT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200CedarStreet BE DILIGENTL.Y PURSUED TO COMPLETION. THIS PERMIT MAY 3E FvereU,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WURK ON Th!IS Phone:259-BB10 PROJECT OVER 90 DAYS DUF7ATION. ___ �_...,..�=�_' _ __ � .