2613 57TH ST SW 2016-01-01 MF Import

Date 3-23-93 F?- Z -7,b ✓{' c(3 _z__ Pa HiC WPrb Perms Application For a-ca boor e_ 39979 PUBLIC WORKS P ��W■ e/TG .cL ( ___ 7 TC f ZS I i X01•;WorYR FeR lOul Fea t{ LOBS AKt Fee P.1• S Print or Type Only a••�=oao+ S �� r b Countrywood Homes 14410 Bel Ree. Rd #200 Bellevue WA 98007 644-2323 + Owner Mailing Address City Zip Phone et Owner Applicant Mailing Address City Zip Phone Describe Pronosed Work new house Project Address(if known) 2613 57th St SW Lot 41 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 • Indica!e North proposed structures on the lot • Show any proposed graving changes CIO • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1.All calls for Inspection shall be made 24 hrs.in advance-phone 259.8810. 0 2.All cork shall be performed in accordance with this permit and current City of Everett Design and Construction atundards and Specifications. 3.Cell Location Underground Service 48 bra.before you dig.TOLL FREE NUMBER 1.8%!)•424.5555. 4. Install rock constntetion entrance behind driveway an pr.-r city standard 11208 and erosion control as directed by Public Works /� Inspector. v 5. Keep city streets clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, env damage theretc 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. 8. Connect all roof, yard and driveway drains to storm 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 yl 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, ar causes of action that may arise because of Installation and maintenance of the Improvement or other right-of-way use hereto V►1 (N 1 applied for and further agrees to remove some upon notice from the Approved for Constru� Date City to replace public grope y damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Applicant Dale PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 32DO Ceder Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.