2625 59TH ST SW 2016-01-01 MF Import

Date 39].0pq 13169 P1pr e 391.0 12/28/92 TO POSTING �- �� 22 msec Worse " 0 Application For PUBLIC WORKS PERMIT Pub;o:Fee`°° : Less eppr Fee Peed 9 _ eelance Due Print or Type Only countrywood Homes 14410Bel- 644-2323 Owner Mailmg Address City Zip Phone lTaner Applicant Mailing Address City Zip Phone ~\ ' Describe Proposed Work New SFR (Plan 8318) BA SSI 9 I _• C407— Project Address til known) 2625 — 59th Gt SW __ — Attach lour 14f copies of plans for proposed work• Draw to scale and note the following of applicable: • Centerline rt street • Property Lines • Indica le Nort • Outline and dimensions of all existing and h • Show any proposed grading changes proposed structures on the lot • Show measurements • Existing and proposed utilities M DO NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS 1.All calls for Inspection shall be Made 24 hrs.In advance•phone 259.8810. 2.All work shall be performed in acc,)rdance with this permit and current City of Everett Design and Construction Standards and Specifications. 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. 4. Install rock construction el.ttrance behind driveway Ala per city standard 0208 and erosion control as directed by Public Works O Inspector. 5. Keep city streets clean at all times 6. Curb gutter and sidewalk in the plat are new and undamaged, any damage thereto :-hall be replaced at the discretion of the Public Works Inspector. 7. Any change in the driveway cut twat be approved by the PW In- O spectore width at prr,p line limited to existing apron width. B. Connect all roof, yard and driveway drains to storm drain 0 system provided to lot. 9. Adjust water boxes to grade at and of construction. 10. Driveways shall bu 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, 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 Appy ed for Construction Date City and to replace public f property damaged thereby 2 ffo dll FINAL INSPECTION Date Dale Approved as Constructed Signature AUTHORIZED Applicant RMIT MUST BE STARTED PUBLIC WORKS DF PARTMENT 80RD YSOF DATE PERMIT ISEISSUED AND THEREAFTER ISTO 3200 Ceder Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE S Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS Phone:2598810 PROJECT OVER 90 DAYS DURATION.