114 81ST ST SW 2018-01-02 MF Import

Date 8/17/93 TO POSTING_. 3-14A Application For PUBLIC WORKS PERMIT Print or Type Only PweewoM.l.,m . f,� Bldg Dept a 41724 Public wore. red Total rn. Len APPI. Fee Paid S __ B.Lnce Due S __ —'Terry Hicks 20541 NE 150th Woodinville 9an72 88-a_jD0U Owner Mailing Address City Zip Phone _Same Applicant Mailing Address City Zip Phone Describe Propoted Work __ New house — BASIC 226 Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable. • Property Lines • Cent, -line of street • Outline and dimensions ul at! existing and • P rh,. i.c +forth proposed structures on the lot • S;nov, an; v opused gradinb-.hanges • Existing and proposed utilities O Show measuremenrs PERMIT CONDITIONS 1. All calls for in3pection shall be made 24 hrs. In advance- 0 .r, 259.8810. 2. All work shell be performed in accordance with this perm.t ano current Cite of Lverett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 bra. before you rig. Trot FREE NUMBER 1.800-424.5555. 4. Install rock construction entrance!)es,ind driveway as per city standard #208 and erosion control a, lirected b;, Public Works Inspector. 5 Keep city streets clean at all times 8. Curb gutter and sidewalk in the plat are new and undamaged. any damage thereto shall be replaced at the discretion of the Public Works Inspector. 7. Any change in the driveway cut must us approved by the PIN In- spector, width at prop line limi.ted to existing apron width. 8. Connect all roof, yard and driveway dr.lins to storm drain system provided to lot. 9. Adjust water boxes to grade at end of construction. 10. Driveways shall be completely cured before driving on them. 9"6k'fflCAe' Approved for Construction Date FINAL INSPECTION Date Approved (is Constructed PUBLIC WORKS DEPARTMENT 3200 Coder Street Everett WA 98201 Phone: 259-8810 ACK"IOWLEOGEMEN f ",F CONDITIONS Cl) W 0 z 0 FM U) 0 an The undersigned owner/applicant helroy agrees to hold and sa: harm - bias the City of Everett from an ::nd all claims for damages. costs. expanses, or causes of action trial may arise because of Installation and maintenance of the improvement or other ri;. d-of•way use hereto applied for and further agreer t^ remove sane upon notice from the City and to r ce publl n; damag� r y. G 4,v 3- i Io. Applicant Date WOt1 AUTHORIZE Pt ,IS rLRMIT MUST BE STARTED WITHIN 1P,0 D'YS OF DATE lit AT IS ISSUED AND THEREAFTER IS TO 4e DILIGENTLY PURSUE J TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJFC, r OVER 90 DAYS DURATION.