10625 9TH DR SE 2016-01-01 MF Import

�I�BLIC WORKS PERM17` PUBLIC W�RKS DEPART�v1ENT 3200 Ceda Streel Evcretl, V: + 98201 (425) 257-8a�� C O Q ,. POSTING-_ OWNERNAME AND ADDRESS'.DEAN DAVE 4023 108TH ST SE EVERETT WA rHONe: � 425 ) 379-7733 7AXP�,tiCELI.D.a 00397000003916 DESCRIPTION OF PROPOSED WORK: NEW HOLISE PW PERMIT CONDITIONS �� Date 4/12/O1 Public Works Permit a PW0104-016 Building Permil p Planning Reterence k Public Works Fee S Guaranlee S ROGEP, OLIN COfIST PO BOX 3216 EVERETT WA rHONe: ( 425 ) 337-7622 PROJECTADDHESS: lO6�S 9TH DR Cu104-013 98203 �. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8870 2. All work shall be performed in accordance with this permit and current City of Everetl Design and Construction Standards and Specifications. 3. Call Locatiori Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 $25.00 4. Install Type I driveway per City Stan3ard #1307. 5. Connect rooftop downspouts to catch basin in street. 6. Connect side sewer to existing stub. Worlc to be done per City of Everett Standard '�601. / N� �� A r detl �or Cansbuclion Dale _^�� z -3 -�, FINAL INSPECTION Approvetl a5 Constmclntl Dale ACKNOWLEDGEMEWT OF CONDITIONS W F"' '�^ V, W O � Z O '�^ VI � a The undersigned owner/applicant here6y agrees to hold and save harmless the City of Everett Imm any and all claims lor damages, costs, expenses, or causes of action Ihat may arise because ol installation and maintenance of Ihe improvemenl or other righl-ol�way use hereto applied lor and funher agrees to remove same u oti Irom Ih j ny an� to replace public property Ca d reby. �/ 1! / •/J'/�/ � IgnaWre o Appli�l Dal�/ IVORK AUTHORIZ'eD BV THIS PERMIT A1UST E3E STARTEO WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED TO COIdPLETION. THIS PGRIdIT h1AY BL CANCELLEO BY THE CITY UPON ANY STOPPAGE OF \NORK ON THIS PROJECT OVER 90 DAYS OURATION.