Laserfiche WebLink
1 <br /> 4-20-92 r"' P„bee Welke Paine <br /> Date <br /> Fbe sept 36415 <br /> APnhcalic, u <br /> ' PUBLIC WORKS PERMIT <br /> Pubic Wor„Fee <br /> Toler res III <br /> JD 5 1 n C t I 1 1 p(�rT 111�7 ,. 7__;Z .n,.encs re, <br /> T <br /> �"„ H Nei,nce sue 3 <br /> a'a to Print or Type Only <br /> H Z� <br /> r! f1 <br /> Oxo Countrywood Homes 14IQBol-Red Rd, 0200 Bellevue 98007 644-2323 <br /> 31 HH Owner Mating Address city Zip Phone <br /> to H Owner _ Angie Stevens <br /> O H Applicant Mailing Address City Zip Phone _ <br /> HMg z <br /> O e c] Describe Proposed Work new house _ <br /> z <br /> HH <br /> y WH <br /> RM M Protect Address(if known) 2710 59th St SW Lot 14 <br /> z H(A <br /> H O Ea Attach four(4)copies of plans for proposed work•Draw to scale and note the following as applicable: <br /> • Property Lines • Centerline of street /^ <br /> • Outline and dimensions of all existing and • Indicate North V <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Exisling and proposed utilities • Show measurements <br /> DO NOT WRITE BELOW THIS LINE O <br /> .� PERMIT CONDITIONS <br /> �� 1.All calls for Inspection shall be made 24 his.in advance•phone 259.8810. a� <br /> 2.All work shall be performed In accordance with this Permit and current City of Everett Design and Construction r/ <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUM6ER 1.8.)0.424.5555. z <br /> 4. Tnntall rock cnnstruction entrance behind driveway an Ter city G <br /> standard 0208 ane ornsion control an directed by Publir. Works O <br /> Inspector. <br /> 5. Keep city streets clean At. All HMP9 <br /> 8. Qirb Rutter and sidewalk in the plat are nPw And undAmaRPd. FM <br /> Any dApi therein shall be replAced At. I.he discretion of the <br /> Nlblir Works Inspert.or. <br /> 7. Any change in the drivPWAv r•ut. count. he Approved by the PW In- <br /> spector, Width At. prop line limited to Pxist.ing apron Width. <br /> H. Conners. All ronf, yard and driveway draiina to ntorm drain <br /> system provided to int. li <br /> 9. Ad,iunt wator boxes to grnde At end of ronsLrnrt.ion. <br /> 10. Driveways shall be enmpletely cured before drivinc on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> yll t, The undersigned owner/appiicar t hereby agrees to hold and save harm• <br /> less the City of Everett from any and all claims for damages, costs, <br /> •� expenses, or causes of action that may Furies because of Installation <br /> n -� <br /> N (^ tom-•,"u 5� Vcf and maintenance of the Improvement or other right-of-way use hereto <br /> 1 ` f `., applied tot and further agrees to remove same upon notice from the <br /> Approved for Copslruclion Date City and to replace public property damaged thereby. <br /> L <br /> FINAL INSPECTION Date Signature of Applicant <br /> Approved as Constructed <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200Ceder Stress BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett WA9820i CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DURATION. <br />