2509 57TH ST SW 2016-01-01 MF Import

Date 5-10-9i E— z -2>—1+ :7:-:e----40553 nonir alum riy PUBLIC WORKS PERNTOSTING_l �? .m. a 2O .''„e ,; Print or Type Only Countrylaood Homes 14410 Bel-Red Rd Suite 200 Bellevue WA 98007 Chi Owns, Mailing Address Crly Z-P Phone Owner Applicant Meiling Address Cay Z-P Phn- Descr be Proposed Work new house _ _ - •� Project Address pf known) 2509 57th St SW Lot 48 Powder Mill Highlands 1 Allach lour 041 comes 01 plane for Proposed work-Draw to scale and no's the following as applicable. e Property Lines •Centerline of street /w e Outline and dimensions of all emling and •Mclicate North v+ Proposed structures an the 101 •Show any proposed grading changes •Eslstmg and pr000sPd uhkbes •Show measureme Vs Y DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All alu larllbedbnshall made 14his.to advance phone269$810. ^..All work snail Ds pednrmeO in In accordance with this permit and current CllY of Everett Design and Construction Standards and Specificauona 3.Cell Location Underground Service 48 hoe.before you dig.TOLLFREE NUMBER 1.800-424.5555. z 4. Install rock construction entrance behind driveway as per city O standard 0208 and erosion control an directed by Public Works Inspector. 5. Keep city streets clean Al", all times 8. Curb gutter and sidewalk in the plat ere new and Undamaged, any demege thereto shall be replaced at the discretion of the Public Works Inspector. ed the Pit In- 7. Any changs in the driveway cut must be approved by O Spector, width at prop line limited to existing apron width. 8. Connect all roof, yard end driveway dralns to atom drain system provided to lot. 9. AdJust water boxes to grade at end of construction. 10. Driveways shall be completely cured before driving on them. ACKNOWLEDGEMENT OF CONDITIONS b The undersigned ownerNpplitant hereby agrees la hold and save harm leu the City of Everett Imm any and all claims for damages, cone /U0 � �� /�� and masa or Geula.of Schon that may gree because of Installationerelo and applied for and f of the green to @ ov ss, rphb n nota use bertha eDWiad Ins and further sprees la remove came upon notice from the App,Med for Cons ructt on Dale City and to eptece public eroperty,damaged thereby. FINAL INSPECTION Dale - Approved as Constructed SlgMfure of AppWord Dara PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THI P RMIT MUST BE STARTED WITHIN 3200 Cedar Sinal 180 DAYS TL DATE PURSUED 1 ISSUED AND THEREAFTER IS TO Everett WA 911201 3E DILIGENTLY PURSUED TO N MPLETIONANY STOOP THIS WORKERMIT MAY BC Cry Phone.259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON iHlli PROJECT OVER 90 DAYS DURATION