302 79TH PL SW 2016-01-01 MF Import

pPPbcalion For PUBLIC WORKS PERMIT Date 8/8/96 PUBLIC WORKS DEPARTMENT Public Works Permit a �Z 3200 Cedar Street Everett,WA 98201 259-8810 Building Permd M 57529 TYPE OR PRINT ONLY TO POSTING 1 ° " Public Works Fee$ _ KAY MATTESON 15418 29TH AVE 3E MILL CREEK 98012 'ilb_Rir,l Owner Mailing Address City Zip Phone Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE — BASIC 11^8 W PROJECT ADDRESS(if known) 302 79TH PL SW IAMB fPdl9gIl + eAW5�3( / k:k Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: Byn q W •Property Lines •Ounme and dimensions of all existing and proposed structures on the lel •Existing and proq_ fn�e� •Centerline of street •Indicate Nonh •Show any proposed grading changes 'Show measurements PP�W :118.30 PLUG $94.00 DO NOT WRITE BELOW THIS LINE oUU PERMIT CONDITIONS: SRCHRG $4.50 1.All calls for inspection shall be made 24 hours in advance-phone 259-8910. DRIVWy $20.00 2.All work shall be performed in accordance with this permit and current City of EI(I®lIiARgign and O Construction Standards and Specifications. WATER 1;i 5.00 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMOWCOb0-4z4-5555. H SEWER.. $70.00 SYSDEt' ;1"96.00 1. Keep city streets clean at III tones. CHECi( $2357.90 O 5. Cm gutter mid sidewalk in die plat ate new and imclateaged, airy damage thei410 sicut Ir l:pl:ik,d :d III discretion of the Public Works Inspector, 0. Any change in the driveway cut must be approved by the PW Inspector, width al prr,p Alm Innllyd to existing apron width. �. Adjust water boxes to grade at end of construction. 8. Driveways shall be completely cured before driving on them. 9. Rooftop dramage shall be discharged: Lots 2.9 and 15.23 discharge roollop runoff to residential sidewalk drnin(thnt-curb drain). Lots 10.14 and 25 discharge rooftop mnoffto storm drain stub provided to lot. �b ACKNOWLEDGEMENT OF CONDITIONS h 8 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 for nstructlon Data 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 City and to replace public property .7 );L damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature 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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.