2521 57TH ST SW 2016-01-01 MF Import

Date 8-1.3--93 T/I D�ST�N�_ 0 - /(- 9 Pi,nl,c wp,M.P•,md. --1 �a-/— Application For �T-- e1da nepl •—Jk{{r]$ PUBLIC 'WORKS PERMIT P01. F. ,M16ee Fee ToS Le.\APPI Fee Pe-d S 9•nnce Dm S �� Print or Type Only Countrywood Homes 14410 Bel-Red Rd Suite 200 Bellevue WA 98007\) Owner Mailing Address City Zip Phone Owner Applicant Mailing Address ("ily Zip Phone k� Describe Proposed Work _ new house____ r W Project Address(if known) : Al 57th St SW Lot 46 POwderX ill Attach four 14)copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements M DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All calls for Inspection shall be made 24 hrs.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 48 hrs.before you dig.TOLL FREE NUMBER 1.800-424.5555. 4. Install rock construction entrance behind driveway as per city standard #208 and erosion control as directed by Public Works O Inspector. 5. Keep city streets clean at all times 6. Garb gutter 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 limitsd to existing apron width. O 8. Connect all roof, yard and driveway drains to storm drain system provided to lot. am 9. Adiust water bor-ea to grade at end of conatruction. 16 10. Driveways shall be completely cured before drivinsi on them. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm less the Cdy of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation GI and maintenance of the improvement or other right-of-waY use hereto �.1Zfi 73 applied for and further agrees to remove same upon notice from the Approved for Construction Date City and to replace public property damaged thereby. 9> FINAL INSPECTION Dale Date Approved as Constructed AM—nature of Applicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN PUBLIC WORKS DEPARTMENT 1£10 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:2598810 PROJECT OVER 90 DAYS DURATION.