2531 57TH ST SW 2016-01-01 MF Import

(�( I DZ8 Date 114-94 =4Tn WTING_ ^2l— moot Works Permit Applic on For P.ido Dept a— 61 _3 PUBLIC WOKS PERMIT Pueis ork, Toln FeeFea s t LeU eppl Fec PeVE S _ r tl O Belence Due s Lam` Print or Type Only s 8 8 8 1R 8 8 8 81.3 8 O M M M Countrywood Homes 14410 Of--Red Rd 11200 Rel@vue 98007 644-2323 Owner MaFtoq ldress ` ]� Clf11 „ Zip Phone Onwer °_t_ CP Appllranl Maahnq Address COY LP Phone C Describe Proposed Work Lot 44 Powder Mill Div 2 1 - -- - W Project Address(if known) 2531 57th St SW Attach lour(4)copies of plans for proposed work- Draw to scale and note the following as applicable: Irk • Property Lines • Centerline of street ,A • Outline and dimensions of all existing and • Indicate North v♦ proposed structures on the lot 0 Show any proposed grading changes + • Existing and proposed utilities 0 Show measurements /M DO NOT WRITE BELOW THIS LINE O F PERMIT CONDITIONS r ' 1.All calls for Inspection shell be mode 24 bra.In advance•phone 259.8810. Will 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction . I Standards and Specifications. 3,Call Location Unaerground Service 48 his.before you dig.TOLL FREE NUMBER 1-800-424-5555. z 4. Instal rock construction entrance behind driveway as per chy standard*208 and vroslon control as directed by Public Works O Inspector. 5. Keep city streets clean at all times 6. Curb gutter and sidewalk In the plat are new and undamaged, arty damage thereto shall be replaced at the discretion of the Pubic Works Inspector. 7.Any change In the driveway cut must be approved by the PW iIn- O Spector,width at prop One mited to existing apron width. 8. Connect all roof, yard and driveway dreins to storm drain system provided to let. 9.Adjust water poxes to grade at end of construction. 10. Driveways shag be completely cured before driving on them. ,rr ACKNOWLEDGEMENT OF CONDITIONS YY The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. n � I expenses. n causes of action that may arise because of installation hereto and maintenance of the Improvement or v other right-of-way notice use hereto r/ applied or and further agrees to remove same upon notice Irom the Approv for,Con truction Date Cqano replace pu roperty damaged thereby. FINAL INSPECTION ala Approved as Constructed Sig tura of Ap Ilea t WORK AUTHORIZED BY T S PERMIT MUST BE STARTED WITHIN PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPL"TION.THIS PERMIT MAY BE Everett WA 98201 CANCELLED BY THE CITY UPON ANY STL,.^^AGE OF WORK ON THIS Phone:269.8810 PROJECT OVER 90 DAYS DURATION.