Laserfiche WebLink
E <br /> Date 9111/ 1 M.c Wmee nermge ��I 53 r`. <br /> Appllcalion For TO POSTING._ Bldg DaFi a 91/27684 <br /> PUBLIC WORKS PERMIT n°ohc <br /> T.WmMeiea 3 <br /> Tobi Fee <br /> ynH <br /> y fete r1oo1 tee Fero S <br /> [M°lf Defiance Due <br /> C H Print or Type Only <br /> aHW <br /> y H Hanabrook Inc E 4020 Main Spokane 99202 534-0644 <br /> W. y Owner Melling Address Clty : _Zip Phone <br /> 0 ' � i� SII♦ <br /> z S APPllcenl Mailing Address City Zip Phone <br /> SO <br /> WM O Describer .,used Work Constrict new 11965E tri—level .- <br /> ISI" GCn, ------ <br /> ZH3 <br /> t" r H UJ <br /> - <br /> VJ <br /> g Hlam, y� <br /> n bur Project Address ldknown) 7n1 6nN Pt o., 6l."' <br /> `"t- Attach lour(4)copies of plans for proposed work•Draw to scale and note the following as applicable: e <br /> H yo In • Propirty Lines <br /> •Centerline of street //� <br /> •Outline and dimensions of all existing acd • Indicate North U <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities N Show measurements <br /> DO NOT WRITE BELOW THIS LINE 0 <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.In advance•phone 259.8810. <br /> 2.411 work mall be performed in accordance with this Permit and current City of Everett Design and Conslructlon <br /> Standards and Specifications. <br /> 3.Cell Location Underground Service 49 hrs.before you dig.TOLL FREE NUMBER 1.800.424-5555. Z <br /> 4. Install rock construction entrance behind driveway as per city O <br /> C �� standard 0208 snd erosion control as directed by Public Works <br /> Inspector. <br /> 5. Keep city streets clexin at all times <br /> 8. Curb gutter and sidewalk in the plat are new and undamaged. <br /> eel Any damages thereto shall be replaced at the discretion of the <br /> Pub] to Works Inspector. <br /> 7. Any chAztge in the driveway cut must be approved by the Public <br /> Works Inspector. <br /> evil B. Tightlinn all roof. yard and driveway drains to storm drain <br /> stubs at back side of sidewalk. <br /> 9. Adiust water boxes to grnde At end of construction. <br /> ..� 10. Driveways shell be completely cured before driving on them. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unoesigned owner/applicant hereby agrees to hold and save harm- <br /> less the C!v of Everett from any and all claims for damages, costs. <br /> expenses. or nausea of action that may arise because of installation <br /> ���_ (/ 1/J�f�/� []_Z�.♦l/ and malntonpoce of the Improvement or other right-of-way use hereto <br /> 4_ C.L(A.Xr Hyl M1-� 7 / appiier, In; and further agrees to remove same upon notice from the <br /> Approved for Co truction/ Dale City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date N-� S7w` Odeo <br /> t <br /> Approved as Constructed Signature of Applicant <br /> OPUBLIC WORKS DEPARTMFNT WORK AUTHORILEDDATE BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street BE DAYS T OATS PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ff Everett WP 08201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:2 A 9810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />