Laserfiche WebLink
,, � � � % <br /> Date�q.� `° P��e��wo,k�Po,m��< cl s�l l8 <br /> Applic2tionFor r�^� POSTING � �� -9mq.oepi.. 7L/>�� <br /> o� <br />� PUBLIC WORKS PE�MIT Publ¢WorksFea - <br /> ,a�T�Fe� s <br /> ,,: <br /> �__� Less Aao�.Fne Pa�a 5 <br /> ��_� r- a o 0 o c� c� ��4'W2ce o�e S �r <br />� Print or Type Only r o 0 o c. �n �� �� _ _ <br /> c-�, vi r� ci ci <� _i c; o r.i r; <br /> p-i C� C- �p , � yi. �.�.1 [- Q� t�� <br /> - v] w u: ,,. .a - , -r .� <br /> /�//� ✓f �1y' wt ::�. a L> � ;q. . �83- l 0�5 <br /> 11 (/�����II fl�l��� � r... �{� L'f �ii <br /> m <br /> Owner Mailing Address u. �. [= City c.o -- ni � ip_ ': Phone � <br /> �r cr_ a n := 2] �r i�i .. <br /> r= oc� rox� u .�.�. > oi,_iowr 'r <br /> C�I (7 [5 f:] C} f� LJ �--! O V— (� ; Ul LLI <br />' O I J LJ ._I ir: f,] �L � Lil - S. <br /> �i ¢': f�J Ci_ .L'. f 1 h� f_t 3: 3 3C !q iti L.� <br /> Applicant Mailing Address City 7ip Phone ', 1\ <br /> �J�' : <br /> Describe Proposed Work IV��`� G��mGs � .` � <br /> i <br /> _ _-lI- 9 / W <br /> Project Address(if known) 58Z ��l �I'W I�I�G J�o ��G`�� � <br /> Aitach four(4) copies of plans tor proposed work- Draw to scale antl note the following as apUlicable: � <br /> • Property Lines • Centerline of street '^ <br />, � • Outline and dimensions of all existir.g and • Indicale North V� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremeMs w/� <br /> riti <br /> DO NOT WRITE BELOW THIS LINE � <br />' PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current Ciry of Evzrett Design and Conshuction <br /> Standards and Specitications. <br /> 3.Call Localion Under9round Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424•5555. � <br />' 4. Kea� cily str��:fs clean at all time;s. � <br />, 5. Curb nuiler �nd sidr,walk in ihe p�a1 are new and unriama�ed. arrv damage: <br /> therelo shali be replaced at ihe disctc:tion ot ihe Public Works Inspc;ctor_ <br /> � Any chanc�e in ihe drivew�y r,ut must be aF��roved by ihe Public Works Inspeclor. ■ <br />' widlh at prop line limiled lo existing apron widlh. Driveway rnay 1�per yradually t r <br /> mc:et �arage door enirance iFor �n approv�d 3 cur narageJ. �/\ <br />, /. Adjusi waier boxes io grade at end o( construction. N♦ <br /> 8. f)riv�ways shall be com�letely r.ured hefore drivinc� on 1hem. O <br /> 9. Roo�lop drainage shall be discharged to ihe lois intiliration Irench as per the <br /> 'Besideniial Roof Downs�oul Syslem" deiail (attached) and as per Ihe sizinc7 an�i ^ <br /> localion inlormation on ttie lo1's sile plan. A preconsfruction meeting musi be ���� <br /> scheduled wiih /11�n I ocke (388-?655 mob. or 2!i9-fl810 oFfice) prior te� install�iion of <br /> Ihe in(iitrafion syslem. Any change in �he infilirafion irench must be approved riy <br /> ihe Puhlic Works Ins�rclor. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owneUapplicant hereby agrees��o hold and save harm- <br />�� — less the Ci1y oi Everetl Irom any and all claims for damages, costs. <br />� / / ezpenses. or causes of action that may arisa because of installalion <br /> C l�-c� 3/ �,�/yJ and maintenance of the improvement or other �ighPd�waY use hereto <br /> f � applied lor and further agrees lo remove same upon notice trom ihe <br /> Approved�Ps�rucliqn ���e City and to re ce Uublic property damaged thereby. <br /> � �'-�- ;l � 3/�i�'�- <br /> FINAL INSPECTION Date l � <br /> Approved as Constructed Signature ApPI� a� - �e I <br /> WORK AU FIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO � <br /> e�� 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE �, <br /> Everett,WA 98201 CANCELL[D 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATIO�J. <br />� _ - ----- — -- -- �_- - — -- --..� <br />