2528 58TH ST SW 2016-01-01 MF Import

- u Date---T-13-94 Tb POSTIfrGG4 l �� P.bl¢work.Permll Annllcalion For N auto Deer . 44898 - PUBLIC WORK&PERMIT 1.00,works Fee --- T.lal Fee 5 I eU APPI Far No S Print or Type Only 8 8 8 8 g S E3 8S D..ianre D., s .pp !p� 00 i ro-' � .a "C; .. M �Y O N M N r` N N R Countrywood Homes 14410 Be Re 'Rd #200 Belj¢vu WA 98007 644-2323 Owner Maikn - ---� i �� y � Zip Phano Grater \ Applicant Maihnc Address Gi. ZIP Phone 1 Describe Proposed Work Lot 14 Powder Mill Ri&hlands UJ Project Address lit known) _2528 58th St SW _-- _— _ r Attach four(4) copies of plans lot proposed work - Draw lo uab .roa ncte mo!anowmg as anphrable, • Property Lines •Cenlerline of street 'w • Outline and dimensions of all existing and • Indicate North v, proposed structures on Ine lot • Show any proposed grading changes • Existing and proposed utllt!ies • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS 1.All calls for incpcction shall be made 24 his.in advance-phone 259.8810. a 0 2.All wark shall be performed in accordance with this permit and current City of Everett Design and Construc'ion Standards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. 4. Install rock construction entrance behind driveway as per city standard#0208 and erosion control as -Nrected by Public lNorks hiwcci or. 5. Keep city streets cleats at all tunes. O 6. Cur's guttan er d sun sidewalk in the olat are new and damaged,any damage thereto shall be replaced at the d;scretion of the Public Wouirs Inspector. 7. Any change in the driveway cut mist be approved by the PW Inspector,width at prop line limited to H existing apron width. S. adjust water boxes to grade at end of construction V I 9. Driveways sh"ll be cornpletely,cured before driving on them, co 10. Rootlop drainage shall be discharged: 1) to the site's storm drain rystem(private orpublic) 0 2) to a residential roof downspout system designed per section 4-9.4 of the city standards 3) onto splash blocks The method selected will he subject to Public Worcs Depattement approval. ACKNOWLEDGEMENT OF CONDITIONS I he undersigned owner/applicant hereby agrees to hold and save harm• less the City of Everett from any and all claims for damages. costs. o•pensesor causes of action that may arise because of installation —7.� ,nnf maintenance of the improvement or other fight-of-way use hereto f L_`_,7 ;.cplted for and further agrees 10 remove same upon notice from the Approved for Construction Dalo C4v and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature of Appl cant Date 41LPUBLICWORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO EveretL WA98201 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.