311 79TH PL SW 2016-01-01 MF Import

PUBLIC WQRKS PERMIT Date— 31266/,9n6 PUBLIC WC DEPARTMENT Public Works Permit N 3200 er Street Everett,WA 201 259-8810 Building Permit 4 TYPE on PRINT ONLY c 8 8 8 19 �: S 8 8 ru7�fjj ,a enc Works Fees K/ KAY MATTESON 15418 '19T E«SE Ir CR j 98012 316-8361 Owner Malang Address J.fja rq� bit Zip Phone Applicant Mailing Address City Zip Phone Describe Proposed Work NEW HOUSE - BASK 1109 LU n I- PROJECT ADDRESS(if known) 3( 1 -7a" Pt 5VJ LOT 15 HERITAGE EST. M� Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: W "Property Lines 00utline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate Nonh •Show any propos.:d grading changes "Show measurements PERMIT CONDITIONS: DO NO r WRITE BELOW THIS LINE 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 O Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424-5555. H 4. Keep city streets clean at all times. V S. Club gutter slid sidewrdk in the plot are ticw and undalllaged, airy chunage thereto shall be replacer'at III Q discretion of the Public Works Inspector. a 6. Any change in the driveway cut must be approved by the PW Inspector, width at prop line limited to cidsling apron width. �. Adjust water boxes to grade at end of construction. 8. Driveways shall be completely cured before driving on them. 9. Rooftop drainage shall be discharged Lots 2.9 and 15.23 dischame rooftop runoff to residential sidewalk drain (thno-curb drain). Lots 10.14 and 25 discharge rooftop nntofrio florin trail stub provided to IOL yl� ACKNOWLEDGEMENT OF CONDITIONS ��7��C/�// The undersigned owner/applicant hereby agrees to hold and save harmless �" / (l0 the City of Everett from any and all claims for damages.costs,expenses.or AJDD for Co rue Ion pat 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 up n notice from the City and to replace public property damaged thereb FINAL INSPECTION Date Approved as Constructed Siire of p' Date p' Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT I ,�D 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.