723 58TH PL SW 2016-01-01 MF Import

^o licr Date —9 yJ�9 OL PUBLIC WORKS For PERMIT public Works Permit M ��5 PUBLIC WORKS DEPARTMENT 3200 Cedar Sfrent Everett, WA 98201 1425)257-8668 if A 1(101 Building Permit M C9909-020 TYPE OR PRINT ONLY TO POSTING _— Public Works Fee$ AMK CONST' rCTION PO BOX 12027 EVdRETT 98206 360-651-2172 Owner Mailing Address City Zip Phone OWNER Applicant Mailing Address City Zip Phone Describe Proposed Work _ NEW NOUS._ W -- - V/ PROJECT ADDRESS (if known) 72-3 5&U1 P1 SW _ Lot 4 Woodlands _ M Attach lour(4)copies plans for proposed work-Draw to scale and note the following it applicable, O •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed Lillian •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements -"Y9 10,07AM DO NOT WRITE BELOW THIS LINE a;1L0 IV, P. e 5 z PERMIT CONDITIONS: 4,50 O 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257.8810 0 2. All work shall be performed in accordance with this permit and current City of Everett Design and 0 Construction Standards and Specifications. sO 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555.1u3 ♦A 4. Keep city streets clean at all times. '30.00 O5. Curb gutter and sidewalk in the plot are new and undamaged, any,imnage dwreto shall beIreplaced at the discretion of the Public Worcs In9caar. 6. Any change in Lie driveway M must be approved by the PW Inspector,width at prop line limited to trialing apron width. 7. Adjust water bores to grade at end of consituction. A 01,16108 8. Ihiveweye shall be completely cured before driving on them 9. Rooftop drainage shall be discharged to the storm drainage stub provided at the front of the lot ACKNOWLEDGEMENT OF CONDITIONS L The undersigned owner/applicant hereby agrees to hold and save harmless a V ^i9 the City of Everett from any and all claims for damages,costs,expenses,or 7pr e r s ruc ion a e causes of action that may adso because of installation and maintenance of the improvement or other nghl-ofway use hereto applied for and further agrees to remove same upon notice from the City and to replace public property dano- 11 e�K' " 1 - v a aged I777horo/b�I FINAL INSPECTION `Dale �/ X, Approved as INSPECTION Constructed �/ / l Signature OFAppliican Liale WORK A'UTHORVED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAA PERMIT IS ISSUED AND THEREAFTER IS TO BE DILrENTLY PUPSUED TO COMPIEn01:.THIS PERMIT MAYBE CANCCLIED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROQECT OVER 90 DAYS DURATION.