2617 59TH ST SW 2016-01-01 MF Import

Date 12/28 92 TO POSTING (�' ,Z Public Works Permit Application For Bldg Dept a 39099 r PUBLIC WORKS PERMIT PueioinFee fee s Leu APPI red Paid $ Print or Type Only Balance Due $ CountrYwood Homes 14410 Bel—Red Rd 4200 -Be-l IMIA WA 9AQn7 644-9121 _ Owner Mailing Address city Zip Phone Owner Applicant Mailing Address City Zip Phone Describe Proposed Work New SFR _ 0 W Project Address(if known) 2617 — SQth Gt sw (IAT 10) Attach four p:)copies of plans for proposed work- Draw to scale and note the following as applicable: a>_ • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes r • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS r 1.All calls for inspection shall be made 24 hrs,in advance.phone 259.8810. 2.All work shall be performed in accordance with this permit and current City of Everett Design and Consuuclion Standards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800.424-5555. 3 4. Install rock construction entrance behind driveway as per city standard #208 and erosion control as directed by Public Works o Inspector. t 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. 'A 7. Any change in the driveway cut must be approved by the PW In- Spector, width at, prop line limited to existing apron width. O 6. Connect all roof, yard and driveway drains to storm drain system provided to lot. 9. Adjust water boxes to grade at end of construction. 1•i� 10. Driveways shall be completely cured before driving on them. ACKNOWLEDGEMENT OF CONDITIONS •7� The undersigned ownertapplicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. costs, `/M expenses, or causes of action that may arise because of Installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved for Construction Dale City and to replace public pro @rty damaged thereby. FINAL INSPECTION Date Lt� ` _ .'2 Approved as Constructed gnature of Applicant Date 14ff PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Ceder 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:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.