Laserfiche WebLink
% <br /> � �PPlication For <br /> PU6LIC WORKS PERMIT °�1e- s-'-9' <br /> PUBLIC WORKS DEPAR7MENT Public Works Permit a _�L� <br /> 3200 Cedar Street / <br /> Evarelt,WA 98201 259-8810 <br /> � �STING B��IdingPermit#_ 55054 <br /> �,, p �o -z6-R� �^ <br /> TYPE OR PRINT ONLY Public Works Fee S GCJ � <br /> Metco Homes LLC 18913 Eothell Evt Hwy Sothell 98012 316-0261 <br /> Owner Mailing Address City Zip Phone �\ <br /> \ � <br /> i <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house � <br /> � <br /> e <br /> -- V♦ <br /> PROJECTADDRESS (if know��) 5413 13th Ave W Lot 11 � <br /> Atlach four(4)copies of plans for propesed work-Drav.'o scale and note the following if applicable: � <br /> •PropeAy Lines •Outline and dimensions of all exis�ing and proposed slructures on ihe lot •Exisling and proposed utilities <br /> •Centerline of slreet •Indicate North •Show any proposed grading changes •Show measuremenls � <br /> DO PlOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. � <br /> 2.All work shall be performed in accordance with this permit and current City ot [verett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> :. Keap city streats clean r�t al1 tim�s. � <br /> 5 rttrb �ttter and side�vnik in th s :at nre new and candameged, any damage khar .� <br /> xnall Ue reNlaced nt tt;e Qiea;rP.e,u�� uP ttie Public VJorks Ine_pactor. � <br /> 6. My change in t13e drie�eu.ny cut must be approved by the Public Works Inspect , <br /> width ai prop iine limited to exiating apron widi:h <br /> ?. AdJust �vater boxes to grade at end of coristruct9on. <br /> ts. llrive�vays shail be campletely �tued before driving on them. <br />' 9. Rooftop dreinage shall be dischurged to the lota infiltration trench n� per tha city's <br /> "Reaidential Roof Do<<msgoi�t 9ystem" dekail nnd aR per the locntinn ini'nrmAtion on <br /> thr lut's slte plaxi. Ati,� chunge iu tl�e inIiltration french muat be ep�ruwed U tl <br /> Aisbli� S�/nrka inE�s�ctor. Ca[l for inepection priar tn coverin . (� �1 �� 1 <br /> � � �� I I J ) <br /> � 997�, <br /> � <br /> MAY 131 <br /> ACKNOW LEDGEMENT.OF�EONDITION��"��"q"���T��7���� <br /> /„ The undersigned owner/applicant hereby[@r��3�to�M�ld r1t1-s2V2 hA.�mless <br /> � � ihe City of Everett from any and all claims fo�jjtC{}p4�c�tki�nses,or <br /> '� — causes of action ihat may arise because of instailation and maintenance of <br /> 0, proved for Conshuction , Dal ihe improvement or other right-of-way use hereto applied forand furtheragrees <br /> i:'� / to remove same upon nolice from ihe Cdy and to replace oublic property <br /> `.�jli,-� _ �L1 .//_�. 7 damagedthereby. <br /> F�f JAL INSPECTION Date <br /> Approved as Consiructed <br /> / <br /> Slgn re of Ap c� D ta <br /> J <br /> WORK AUTHOPIZcD BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS Of DATE PERMIT IS ISSUED AND THEREAFiEli TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED 8Y THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS GURATION. <br />