11017 17TH PL W 2016-01-01 MF Import

Appllcatlon F�r�7 �� I � � " �� � PUBLIC WORKS PERMIT �a�e ��i�si9s �, PUBLIC WORKS DEPARTMENT Public Works Permit # ��/�� 320U Cedar Sireet Everett, WQ'`98201 259-8810 Building Permit k SQ'i'21 Q �'i C O G—" GJ :"� G G GG f.'i t- TYPE OR PRINT ONLY �`- `r �. �, �'> n .a rr.� r., in c� a� o.. � �� ,Public Works Fee $ % � rn �7 � c, •t a tn t�, c:. .r •i a; �:� d+. o.: ,c �«: p� o- +fa : aR '� K F� •A 1-; Ralph Schuck 20717 36th�Av�„NW Stanwo,ad�'98292 @52-1309 Owner Same Describe Proposed Work PROJ[CT ADDRESS (if known) �i � New house — Basic 1121 Phone Phone 11017 17th P1 SJ Lot 15, 112th St Gsc Div II Attach four (4) copies of plans for proposed work - Draw to scale and note the followin� �f applicable: •Propehy Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utililies •Centerline of street •Indicate North •Show any proposed grading changes •Show measuremenis DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. i. K�zp city streets dean at all times. 5. Ciub guttcr and siJcwall: ui tl�c plat arc nca� �u�d w�d;unaecd. :ury dam:igc thcrclo shall bc rcplacccl a; th� di�cretion oFlhe Pabfic Works Inspector. o. A�ry ch;uige in �he d�iveway cut nmst be approved by Ihe Pubiic �vorks Inspector, width at prop tine Wruted znsting aprm� a�dtli. Drivcway may taper gradually lo mect gara�z door .utr:uic: (for an appro��ed � car °�f9PC�. . Adjust wa(er boxes lu �adc at cnd of conslmctiuu. 3. Di�ision 2 Lots lots 3;1,5 & 8 sl»Il cliscl��rge rootiop dr;tina;e to ll�� lols intilhatien I;cnch a� per tiir urprrsion frenclt De�ail" on sl�eet S ul Ihe plaG consin�etioru plmr_ A procousuuctiou me�lui.} mu;t b� �chcd�dcJ wifl� �U�ui Lockc (333AG55 moU. or 259-5310 officc) piim to uistallalion uf thc infiltration ,ystcm. :1m� change in the intiliration trench must br approved by the Pubfic Works Inspcct�r. All oth;r lots in llivision 2 sh�ill dischargc rootiop draiiiage to itte stonn draui smb provided ro il�e lot. W` r � V♦ � O � � O ♦�/� V♦ 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedapplicant herzby agrees to hold and save harmless the City of Everett from any and all claims for damages, cosls, expenses, or causes of action ihat may arise 6ecause ot installalion and maintenance of �he improvement or other right-of-way use hereto applied for and fudher agrees to remove same upon notice from the City and to replace public pmperty ( ) � � � damaged ihereby. � FINAL INSPECTION ate � Approved as Construc�ed . Signature Applicant Date �NCRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.