1221 59TH PL SW 2016-01-01 MF Import

Date s TO POSTING L' °1`' R5/t `6 Public Works Permit Application For r, eldp Deot • A/ZliQ 3 _ PUBLIC WORKS PORMIT Public Work:Fee or Total Fee Li U Leu Apol Fee Paid S Print or Type Onlya C Ogp pgp g $ IG &14rce Due s ZO! MNN N 0 .e} 1'? Ne51t,n 11�81�h 1322 7I..A- ofbrrfi � �f82Cty 337-357,8 Owner Mailing AddressCI y o Z Phone fol Applicant �Mailing Address City Zip Phone Describe Proposed Work Tf tJU Uj Project Address(if known) 2 -71 ��qth piniz, W Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: • Properly Lines • Centerline of street • Outline enc dimensions of all existing and • Indicate North 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 shall be made 24 his.In advance•phone 259.8810. 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 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. a. Deep lily ill-eels (lean at all Ihues. 5. Curb glitter and sidesalk in the plat are nnv and undamaged, any damage thereto shall be replaceiO of the discretion of the 1'uublic Works Inspector. 6. Any change hi the drh'el cut must be approved by the Public Works Inspector,ssidlh at prop line limited to existing apron ssidth. Drivrusay may taper gradually to inert garage door entrance (fur an approves)3 car garage). 17. Adjust stater boxes to grade at end of constriction. S. 1Mvesvays shall he completely cured before driving on them. O 9. Rooftop drainage shall be discharged to flue lots infiltration trench as per the "Residential Roof 0 Dovnspod System" detail (attached) and as per flip siring and location infoation on the lot's site plan. A preconstrution meeting mist be scheduled with Alan 1,ocke(388-9655 mob. or 259_ 8810 office)prior to installation of flip infcltralion system. Any change fn the infiltration trench must hp approved by the public Works hnspetor. ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownerlapplicant hereby agrees to hold and save harm• less the City of Everett from any and all claims for damages. costs. f,' expenses, or causes of action that may arise because of Installation �✓Y�� 3/�� 45 and maintenance of the improvement or other right-of-way use hereto ,1 i / applied for and further agrees to remove same upon notice from the Approved for Cgnstruction Date City and to replace public property damaged thereby. / - p — 17, 0 FINAL INSPECTION Date '� K r' Approved as Constructed Slgnalu a of Applicant Date 19LPUBLIC WORKS DEPARTMENT WORK A THORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone:2598810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.