2625 57TH ST SW 2016-01-01 MF Import

Date_ -R-94 =: ✓ TO P MT I NJ r T ( tav 1-1'1"G�c Bldg Debt 0 Permit ApplicationApplicationfor • 414 71it PUBLIC WORKS PERMIT PubT1.0 Fee -- Toles Fee S Len Allot Fee Pma 5 Print or Type Only r g g �4 g g g g g Bell Due $ - Di F- L o O �� .• N N b N 19 N Countrywood Homes 14410 Bel4d9 Rd 11200 Bellev WA 914007 644-2323 Owner Madin�Abd s I �r1PhoneOnwer 5 az! tE Applicant Mailing Address Cdv Zip Phone l ! Describe Proposed Work new house W Project Address(11 known) 2625 57th St SW _ _ Lot 40 Powder Mill Highlands 2 Attach four(4)copies of plans for proposed work-Draw to scale and note rhe following as applicable: • Property Lines •Centerline of street 'w • Outline and dimensions of all existing and • Indicate North V, proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS Q 1.All calls for Inspection shall be made 24 his.In advance-I.lone 259-8810. 0 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 Service 48 hra before you dig.TOLL FREE NUMBER 1.800.424.5555. z 4. Instal rock construction entrance behind drivevray as per city O standard#208 and erosi.n control as directed by Public Worts Inspeclor. 5. Keep city streets clean at all limes 6. Curb gutter and sidevfalk in the plat are nets and undamaged, any damage thereto shag be. replaced at the discretion of the to Public Works Inspeplor. 7.Any change in the driveway cut must he approved by the P1,V In- spector, width at wop line limited to existing apron width. 8 Connect all roof yard and driveway drains to storm drain system provided to lot. 00 9.Adjust water boxes to grade at end of construction 10. Driveways shag be completely cured before driving on them. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs, `A& expenses, or causes of action that may arise because of Installation .41 W— IZ-7��i and maintenance of the Improvement or other right-of-way use hereto Appr ve for Con elr ion �r applied for and further agrees to remove same upon notice from the t r9cliion Date Cily and to replace public property damaged thereby. FINAL INSPECTION r ate 4411` Approved as Constructed Signature of Applicant Date 4VPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street t80 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.