2415 58TH PL SW 2016-01-01 MF Import

Date l is a Qualm Works Perms• nr n_ Application FOr TO POSTING ��-- Bldg DePt•_ 1�7 W r PUBLIC WORKS PERMIT Nbhc works Fee Tafel Fee • Left APPI Fee Peed • Print or TypeOnly Bebnca Due • LCi Y [- 1-) 0 Ub, p r: 1'i rj r.. T t.• r, - 10 LD&D Construction 21007 - 47th Pr S�' Botti.ollr, Wa:,: 98021 Owner Melling Ad ea W, C< at Zip Phone F38J1� Ir7T1Tnr.i Applicant HOUSQ Mailing Address City Zip Phone Describe Proposed Work _ Lot 5 Plat of Powdermill Highlands Division 2 2415 - 58th Place SW Us! Project Address(if known) Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: • Property Lines • Centerline of street ♦A • 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 O 1.All calls for Inspection shell be made 24 hra.in advance.phone 259-8810. sal 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 hoe.before you dig.TOLL FREE NUMBER 1.800424.5555. z 4 Keep city streets clean at all times. O 5. Club gullet gold sidewalk inlife plat arc new slid undamaged, gory damage tllctclu shall be ieplaced of Iln discretion of the Public Works Inspector. 6. MY change in the driveway cut must be approved by die PW Inspector, width at prop line limited to existing apron width. V 7. Adjust water boxes to grade at end of construction. 8. Driveways shall be completely cured before driving on them. O 9. Rooftop drainage shall be discharged: • to the site's storm drain system(private or public) /� • to a residential roof downspout system designed per section 4.9.4 of Ute city standmds on onto splash blocks file method selected will be subject to Public Works Departement approval. 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, coals, �/ r�f andexpenses,im or nausea of action that may ether because y Installation sehreto entl maintenance of the Improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved for Construction Date City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed Sign Lure of AppRfint -date PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY MIT PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett, da 98201 tree 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.