126 81ST ST SW 2018-01-02 MF Import

Date__�9A 94 u Application Fob PUBIC WORK$ P�ppRppMppTnnlNppGp .�_p_ pp ppipp Print or Type Only = 12; ppp..�pptQpp.o0CA u� o 1!] ea M Nal T N _ ~ (.l Je Owner Applicant Mailing Describe Proposed Work Lot 2 SP 1202- fls�t=S City ME o� PYCLC Worka Permit Bldg Debt a 40 Public Wbda Fee f Total Fee Less Apl Fee Paid a Bell Due a Project Address (if known) r r._ - - Attach four Of copies of plans for proposed work - Draw to scale and note the f llowing as of street able: • Property Lines • Indicate North • Outli"a nd dimensions of all existing and • Show any proposed grading changes proposed structures on the lot • Show measurements • Existing and proposed utilities Phone PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance •phone 259.881 O. 2. All work shall be performed In accordance with this permit end current City of Everett Design end Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1 -800-424-5555. 4. Instal rock construction entrance behind driveway as per city standard *208 and erosion control as directed by Pubic Works Inspector. 5. Keep city streets clean at all times 8. Curb gutter and side) k in the plat are new and undamaged any damage thereto steal be replaced at the discretion of the Pubic Works Inspector. 1. Any change in the drhrevixy cut must be approved by the PIN In- spector, width at prop ina limited to existing apron width. S. Connect al roof, yard and driveway drains 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. _ A'Yin p� 1— 31-�4 s Date Approved for Cons uctioonnn_ FINAL IN Dale Approved as Constructed PUBLIC WORKS DEPARTMENT 1�Ever Cedar 8201 ff— Everett, da 98201 Phone: 259-8810 M li CA im O n z O IMM 0 O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims lot damages, costs. expenses. or causes of action that may arise because of installation and maintenance of the improvement ur other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property am lid thereby. Date Slgna "a of Applicant 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 go DAYS DURATION.