14 59TH PL SW 2016-01-01 MF Import

t�.F4 Date 1119/91 4 Pum r WorksPerm . p Application For q// / 71f TO 1 l r— .. b•o1 •�Q911A PUBLIC WORKS PERMIT Publt WoreF•• 8 Tata Fee Old Leu sPPi raphe S Zd H] Bell"sea yes rl--I�' Print or Type Only K n SELECT HOMES INC 237 ELM ST EVERETT 98203 258-1503 _ O x O Owner Mailing Address City Zip Phone P:0H H 0. RANDY CLARK SAME 1 r r — `' Applicant Melling Address City Zip Phone tv OI-i �y NEW HOUSE BASIC 100 O Describe Proposed Work �V n zy W $8 y FI HANABROOK DIV 3 LOT 41 L " ��rA+ Project Address lit known) `r h r t r 1'h Attach lour(4)copies of plans lot proposed work•Draw to scale and note the following as applicable N a Property Lines a Centerline of street /^ rA v, a Outline and dimensions of all existing and • Indicate North proposed structures on the lot its show any proposed grading changes a Existing and proposed utilities a Show measurements 00 DO NOT WRITE BELOW THIS LINE O i _ PERMIT CONDITIONS 1.All calls for Inspection shall be made 24 him in advance•phone 259.8810. �1 w* 2.All work shall be performed in accordance with this permit and crhrent City of Everett U;sign and Construction Standards and Specifications. 3.Call Location Underground Services 48 him before you dig.TOLL FREE NUM BER 1-800.424.5555. � 4. Install rock construction entrance behind driveway as per city 3 standard 0208 and erosion control as directed by Public Works Inspector. 5. Keep city streets clean at all times 8. Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto shall be reolaced at 'he discretion of the Public Works Inspector. 7. Any change in the driveway cut must be approved by the PW In- UJ Spector, width at prop line limited to existing apron width. On 8. Connect all roof, yard and driveway drains to atom drain �r system provided to lot. 9. Adjuat water boxes to grade at end of construction. 10. Driveways shall be completely cured tefore driving on them. / ACKNOWLEDGEMENT OF CONDITIONS 1<0 The undersigned owner/applicant herebyagrees 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 and maintenance of the improvement oother rig use hereto (,(,(,��(jfy(_ 1 �•F1 F) applied for and further agrees to remove e same uponpoo notice ce Irom the Approved for Construction Date City a rept cc bile property dad thereby. 11 FINAL INSPECTION Dale Date Approved as Constructed Signalu of Applicant PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAUB OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE EverelL WA98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:259.8810 PROJECT OVER 90 DAYS DURATION.