718 58TH PL SW 2016-01-01 MF Import

Dale 9-20-99 Application For -- PUBLIC WORKS PERMIT Public Works Permit M _1 F Z PUS_IC WORKS DEPARTMENT 3200 Cedar Street Building Permit If C9909-016 Everett, WA 98201 (425) 257-8810 – o 2001 Public Works Fee$ TYPE OR PRINT ONLY TO POSTING __v ANK CONSTRUCTION PO BOX 12027 EVERETT 98206 360-651-2172 Owner Mailing Address City Zip Phone OWNER Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE — ui PROJECT ADDRESS (it known) FL_ .SILL) Lot 10 Woodlands _ Acach four(4)copies plans for proposed work.Draw to scale and note the following if applicable: O •Property Lines •Outtine and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements I DO NOT t1fRITE 'ELOW THIS LINE PERMIT CONDITIONS: O 1. All calls for inspection shall be made 24 hours in a wane - phone (425) 257-8810 2. All work shall be performed in accordance with this p rrmit and current City of Evr,relt Design and Construction Standards and Specifirations. I_ 3. Call Location Underground Service 48 hrs. before you a., 'OLL FREE NUMBER 1-800-424-5555, v, 4. Keep city streets clan at all times. O 5. dab gutter and sidewalk in the plat are new and undamaged, arry damage thereto shall be replaced at the disvetion of the Public Works Inspector. a 6. Any change in the drivaway cut must be approved by the PW Inspector,width at pros line limited to existing apron width. 7. Adjus:water boxes to grade at end of construction. B. Driveways shall be corrtpletely aced before driving on thus 9. Rooftop drainage shall be discharged to the storm"nage stub provided at die Itrmt of the lot t_ ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedapplicant hereby agrees to hold and save hamnless / . 7, the City of Evorenaction t from any and all claims for damages,and m expenses,or _'/[!D/ale causes of action that may arise because of In;lal'ation end maintenance of ti ov or s ru ion improvement or other right-of-way use hereto arplied for and further agrees to remove same upon notice from the C'y and to replace public property dam. 3 3i' Oct aged roby. FINAL INSPECTION Date Approved as Constructed a gra tiro 0 D TVIEREAFFER IS TO CWOFW.AUTHORiZED By THIS PERMIT MUST BE OMPLETION.THIS PERI MAY BE CANCELLED BV THE CfTY UPON ANY STOPPAGE F WORK ON THITED WITHIN 180 DAYS OF DATE PERMIT IS ISSMD S JPRO.ECT OVEI190 DAYS V PURSUED TO DURATION.