Laserfiche WebLink
9/7/93 I ' 6v �13W <br /> Puy b"Ir.W>rh:Pe mus = <br /> De <br /> Date 1?, (((��VVVV pl <br /> Application For ��— <br /> Pubec <br /> PUBLIC WORKS PERMIT Qe S---- <br /> less Apel Pee PUJ S <br /> aelence Due S _ -- <br /> Print or Type Only <br /> Select Homes 237 Elm St Everett 98203 City 58-15 Zip phone <br /> Mailing Address <br /> Owner <br /> Owner City Zip Phone <br /> dress <br /> Applicant <br /> Mailing Ad <br /> New house - BASIC 101 (Alder) <br /> Describe proposed Work <br /> W <br /> 104 58th Pl SW � Lot 43 Hanabrook 4 <br /> Protect Address(if known) <br /> — M <br /> as <br /> Attach four(41 copies of plans for proposed work- Draw to scale and note the Q^llowing of applicable: <br /> 9 property Lines • Indicate North <br /> • Outline and dimensions of all existing and 0 Show any proposed grading changes <br /> proposed structures on the lot 0 Show measurements <br /> 0 Existing and proposed utilities <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made an hrs.it advance•shone 259-8810. Design end Construction <br /> 2.All work shall be performed In accordance with this permit and current City of Everett <br /> Standards and Specifications. <br /> 55. <br /> 3.Cell Location Underground Service E hrs.before you dig.TOLL FREE NUMBER 1.80ivewa 55 <br /> Public Inetall standard 0208 co dteroeion controlnruCtion easedireotedbyPublicerl W Works O <br /> Inspector. <br /> 5. Keep city streets clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamagedof t, <br /> he <br /> any damage thereto shall be replaced at the discretion 0 <br /> Public Works Inspector• r_ui <br /> t must be approved by the d In- <br /> h. <br /> 7. Any change in the driveway <br /> at prop line limited to existing apron w <br /> epector, width t <br /> 6. Connect all roof, yard and driveway drains to storm drain am <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. <br /> 10. Driveways shall be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> City less the of Everett from any and all claims for damages. costs. <br /> expenses. or causes of action that may arise because of Installation <br /> f✓ and maintenance of the improvement or other rightoeto <br /> n way use fm the <br /> applied for and further agrees to removesome <br /> thereby^ notice fro <br /> the <br /> Date City an to rept ce pubic property <br /> Approved f'or/Con tructi n t z=/ '/ <br /> a . Al--1.11 Date <br /> Date <br /> FINAL IN Signature Applicant <br /> Approved as Constructed WORK AUTHORIZED BY THIS PERMtoo DAYS OF IT MUST BE STARTED WIS TO <br /> ITHIN <br /> REAFTER <br /> PUBLIC WORKS DEPARTMENT BE DILIGENTLY PURSUED ATE PERMIT IS ISSUED D <br /> PURSUED TOCOMPLETION.TH SEPERMIT MAY BE <br /> 3200 Cedar Street CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Everett,WA 98201 PROJECT OVER 90 DAYS DURATION. <br /> 6L phone:259.8810 <br />