2506 57TH ST SW 2016-01-01 MF Import

E. Z-Z Date 9/22 93 � —zj-Q� Pubic WorxSP°'^^ 35 ApplicationTO POSTING.For Bid, alibi42. PUBLIC WORKS PERMIT PubLCWdreer°° t°r°l Pee $- L°Sx•°°r r• l'sid S Print or Type Only e.r=^r•ov° $ Countrywood Homes 14410 Bel-Red Rd Bellevue 98007 644-2323 J Owner Mailing Address City Zip Phone Owner Applicant Mailing Address City Zip Phone 4 Describe Prcposed Work New house - Basic 213 —fu Project Address(if known) ZSo� rJ7i;�1 StYPe� rJ\V Lot 27 Powdermill 2 Attach four(4) copies of plans for proposed work- Draw to scale and note he following as applicable. • Property Lines O Centerline of street • Outline and dimensions of all existing and • Indicate North W mw proposed structures on the lot 0 Show any proposed grading changes • Existing and proposed utilities 0 Show measurements IM DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All calls for Inspection shall be made 24 his.In advance•phone 259.8810. littltttt+ 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction + Standards and Specifications. 3.Cell Location Underground Servi-e 48 hrs.before you dig TOLL FREE NUMBER 1.800.424.5555. 4 . Install rock construction entrance behind driveway as per city standard 0208 and erosion control as directed by Public Works O Inspector_ 5. Keep city streets clean at all times 8. Curb Butter and sidewalk in the plat are new and undamaged, any damage thereto shall be replaced at the discretion of the Public_ Works Inspector. 7 . Any change in the driveway cut must be approved by the PW In- spector, width at prop line limited to existing apron width. O B. Connect all roof, yard and driveway drains to storm drain system provided to lot. A 9. Adjust water boxes to grade at end of construction. ii 10. Driveways shall be completely cured before driving on them. ^� ACKNOWLEDGEMENT OF CONDITIONS J' The undersigned owner/applicant hereby agrees to hold and save harm less the City of Everett from any and all claims for damages, costs, expenses, n causes of action that may arise because of installation J ri Gtu G _/ V`G-1 antl maintenance of the improvement or v other right-of-waypoonotice use hereto 1 � ' Xit/Ci �(/ 7 applied for and lurcher agrees to remove same upon notico Irom the Approved lot Con.)ruction Date City and to replace public properly damaged thereby. FINAL INSPECTION Dale .Approved as Constructed nature of Applicant Date J& PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street BE DAYS DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,W'A 96201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE E7r Phone:2596810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJF_CT OVER 90 DAYS DURATION.