15 59TH PL SW 2016-01-01 MF Import

Date_/, eijbk warns Permit• Application For ewp Dep'a — 40902 PUBLIC WORKS PLzRMIT ek" WOMBFq TO POSTING Tpbl Fee s z�� -- Print or Type Only "�e�pp'FaePeip otlence Select Homes 237 Elm St Everett WA 98203 258-1503 Owner Mailing Address CITY Zip Phone Owner Applicant Melling Address City Zip Phone —1_1 Describe Proposed Work __. new house v 4 Project Address(if known) I S rq4 ., F71 W Attach four(4)copies of plans for proposed work-Draw to scale and note the following as applicable: r • Property Lines • Outline and dimensions of all existing and • Centerline of street proposed structures on the lot • Indicate North ♦/� • Existing and proposed utilities • Show any proposed grading changes v♦ • Show measurements DO NOT WRITE BELOW THIS LINE m PERMIT CONDITIONS A I.All tails for Inspection shall be made 24 fire.In advance-phone 259.8810. (V] 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction 0 Strndards and Specifications. 3.Cat Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. 4. Insta;l rcL.. construction entrance behind driveway 88 per city z standard 8208 and erosion control as directed by Public Works Inspector. O 5. Keep city Streets Clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto shall be replaced at the discretion of the Public Works Inspector. 7. Any mange in the driveway cut must be appr ,ved by the PW In- spector, width at prop line limited to existing apron width. O 8. Connect all roof, yard and driveway drains to Storm drain system provided to lot. 0 9. Adjust Water boxes to grade at end of construction. 10. Driveways shall be completely cured before driving on them. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages, costs. C expenses. or causes of action that may arise because of Installation and maintenance of the improvement or other right-of-way use hereto Approved for Conelruction — Dale applied for and further agrees to remove same upon notice from the city Or t replac�ePubhc property dama ed thereby. �� N0i FINAL INSPECTION Approved as Constructed Date Signa urs ul Applicant Dale PUBLIC WORKS DEPARTMENT WORK AUTHORIZED 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:259.8st0 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.