Laserfiche WebLink
1Appl116onFo, Date <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT Public Works Permit 0 !IV?-ZZ <br /> 3200 Cedar Street <br /> Evolett, WA 98201 (425) 257-8810 Building Permit p C9907-020 <br /> (1AT r� 7 )lxll <br /> TYPE OR PRINT ONLY TO 1 t�OST NG Public Works Fee$ <br /> FUNSTON BROWN LLC 2614 144T)f ST NE MARYSVILLE 98271 425-308-1362 <br /> Owner Mailing Address City Zip Phone <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Wark _ NEW HOUSE - BASIC 2055 _ W <br /> /47 <br /> PROJECT ADDRESS (if known) 405 60TH -Si SE IAT 6 SHORT PLAT n9-98 <br /> .dtach lour(4)copies plans for proposed work-Draw to scale and note the following It applicable: O <br /> •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centedine of street •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424-5555. /� <br /> ;brat flow drivetwy tuuolf to a rock tilled trench along one or both aides of the driveway. O <br /> Roollop runoff will be directed to splash blocks as per Quilceda Design Group drainage <br /> report for Pasluch short plat dated 1/12/99. A <br /> a� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agn as to hold and save harmless <br /> "( the City of Everett from any and all claims for damages.costs,expenses,or <br /> Approve <br /> or o ruc n a e causes of action that may arse because of installation and maintenance of the <br /> improvement or other right-of-way use here W applied for and further agrees to <br /> removes pon notice from th City and to replace public property dam. <br /> FINAL INSPECTION aged the by. / <br /> Approved as Constructed Date C <br /> igna ure o p scan a e <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM IS ISSUED AND THEREAFTER IS TO BE DIUGFNTLY PURSUED TO <br /> COMPLETION THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />