Laserfiche WebLink
I�.rn. �.+ .�.. <br /> 11/� (� ;.� �{ <br /> Date `�`L��l� F '.r �n � / PubI�CWO�hS{�rt�t�i�a _�S `4�f—' <br /> tlG� POSTING �f�� 46719 <br /> Application For� ema.ceo� .- _____ <br /> P�1BL9C WORK� I,�ERMIT P�b���Wo�k�F�o - __ <br /> To!a�Fea S` — <br /> O <br /> � Less ApPI.Fca�a�0 $ _ __ <br /> Print of Type Only ¢ � p o `� o o r� n n e�i,�«o.,, S. � <br /> � o0 oou� g o nov� <br /> v�Oi � r� � n � o vi ci r.i -o <br /> o� � � ww %: � � u� �- <br /> � n H � H! �-f <br /> � i� <br /> Select Homes Inc 12811 Sttv�AvecW Evcrett 98�4 13-90"v6 <br /> Owner Maiiing A res's�— � �i � �� � W � Zip Phone <br /> M O Ctl t[�� '1' �='� S > ..� W O 4J O U <br /> tl OJ J 4 � iiCr' O ZO W Ul = <br /> Owner p Sul �' r U1C] Yt33C Vl �n V <br /> Applicant Mailinp A�dress !'iiy Zip Phone � <br /> \ <br /> Describe Proposed lh'nrk new house —I�� <br /> \:i, <br /> _— ' — --_ - � <br /> ProjectAddresspfknownl 5821 llth Ave W ___ Lot_72 Merrill Crk Gardens � <br /> Ailach four(4) copies of plans lor nroposed work- Draw to scale and note Ihe lollowiny as applicable: � <br /> O Property Lines • Centerline of sireet 'w <br /> • Outline and diinensions ot all existing ard • Indicate North V� <br /> proposed structures on ihe lot • Show any proposed 9rading changes <br /> • Existivy and proposed utilities • Show measuremenls � <br /> DO NOT WRITE BELOW THIS L�NE <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspeclion shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be periormed in accordance wilh this permit and current Giry ol Evnrett Design and Construction <br /> Sinndards and Specitications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBEA 1-800•424•5555. � <br /> 4. K_@e�� clh� streets clean at all times. <br /> �. i:urb cn�iter and sidewatk in [he plai aro new and uud:unaNed, airy duna2e iheroto shall be replaced a[ the � <br /> discr,fion of the Public «'orks Uispector. <br /> (,. Arry chanoe in the d�ivr.wsry cuf must be �r�proved by �hc Public Works InsPector, width at prop line <br /> lu�ulcc lu cxi,l'uig apiuii widlh. Diivew..; �uay laper�.IfIl111IIy IO IIICCI K;ll:i�C (IOOf Clllfil:�a (lor.w � <br /> approveJ 3 ru �:u age). <br /> Adjust waler boxes to e_rada at eud o:con>tniction. ♦A <br /> �. Drivcxa}s shall bc cmuplctclq cured bciorc d�ivin�on tiicru. v� <br /> � Rooftop drainage sh�ll be discliarced to the lots inliltration trzncli �s �er Ihc "Residential Roof Downspoirt � <br /> Sysiem" detail (attachedi ;md as per fhc siang �md locarion uifomia[ion o�� tLe IoPs site p1an. A � <br /> preco�i,liucliun mceti����mu:t be >cheduleJ�Fiih,Ulan I oci;e (3SS-9G55 mob. or 259-SS10 oflice} Prior to <br /> ins��ll;ition of Ihe intilhalinn system Atrv chan!�e in the intiltration trrnch must bz appro�•ed by the Pnblic <br /> Wuil:ti Lispeclur. <br /> AC,KNOWLEDGEMENT OF COND!i IONS <br /> The undersignad owner/applicant hereby aorees to hold and save harm- <br /> less ihe City of Everetl from any and all claims for damages, cost;, <br /> /� ,��/G, � ezpense= or causes of action that may arice becausa oi installation <br /> 7���/���N��/ /""` /� /�$ and ma:ntenance oi ihe imProvement or o�her righbohway use hereto <br /> �' � applird for and further agrees to remove same upon notice from Oie <br /> Approved for Cop;tiuction _ Date Cir, and to replace public Uroperty dsmz.,,�ed thereby. <br /> </ j " <br /> i <br /> �Ct�'�-� _ ,�-��-�)� <br /> FINAL INSPECTION Date `�� � -� � s <br /> 4pproved as Constructed ignature ol Ap cant Date <br /> � PUBLIC WORKS DEPARTMENT VJORK AUTHORIZED 6`/ THI PERMIT MUST BE STARTED WITHIN <br /> ���� 3200CedarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> -- ,�_'_-' --... ..� .� <br />