201 79TH PL SW 2016-01-01 MF Import

Application For / PUBLIC WORKS PERMIT Data 6/24/96 PUBLIC WORKS DEPARTMENT Public Works Permit 0 3200 Cedar Street -- Everett.WA 98201 259.8810 �p 1 3 W7 �f Building Permit p TYPE OR PRINT ONLY TO POSTING fCv ^-, .`Ir(. Public Works Fee S 52104 TERRY WARRINGTON 2320 VERNON RD LK STEVENS 98258 334-4 Owner Mailing Address City Zip Phone PAT RETALLICK 290-6050 t Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE — BASIC 1190 CIO PROJECT ADDRESS Of known) 201 79TH PL SW LOT 24 HFRLIAGE EST. __ Attach four(4)copies of plans for proposed work-Draw to scale and note the following It applicable: *Property Lines 'Outline and dimensions of all existing and proposed structures on the lot *Existing and proposed utilities *Centerline of street •Indicate North *Show any proposed grading changes *Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1.All calls for Inspection shall be made 24 hours in advance-phone 259-8810. 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 07/22/46 10:14Ah OOOA9;"' 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1,3'W-424-6555. L 800052104 r BLDG $758.2(1 ♦/� 1. Keep city streets clean at all hates. PLBG $94'00 O 5. Curb gdtter and sidewalk 41 the plat are ocw and undarna ed, of dauia,c MECH $60.0(1 g ry P DR¢Vllsshall 20.00aceA al u discretion of We Public Works Inspector. DRIVW�J $20.00 6. Any chulge in the driveway cut must be approved by the PW Inspector, w fi lin:: linuted to OM existing apron width. WATER $105.00 ?. Adjust water boxes to grade at end of construction. 900030723 S. Driveways shag be completely cured before dining on them. SEWER $70.00 9. Rooflop drainage shall be discharged: SYSDEV $1296.00 Lois 2.9 and 15.23 discharge roollop nmoirto residential sidewalk drain (tfiff%b lghk17.70 Lots 10.14 and 25 discharge rooftop nrnni f to storm drain sup,provided to lot. i 1 ACKNOWLEDGEMENT OF CONDITIONS Z The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs,expenses,or Approved or onstmction ata causes of action that may arise because of Installation and maintenance of the Improvement or other right-of-way use hereto applietd for and further agrees to remove same upon notice from the City and to replace public property -3 ,P` damaged thereby. FINAL INSPECTION Date Approved as Constructed ature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO .OMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.