4 81ST ST SW 2018-01-02 MF Import

PUBLIC Print or Type Only -r wen. T Application For `n M TlNf I�"� nest._.jtAT1 WORKS ERD41T . 1 To., ^°~ rmn.. � bu sect M htl � Sg8�Q8 8 �g� e..K.. ow Is %Lit ti �o ♦ M Alfred Jubis 1821 Owner Dalcrlbe Proposed Work new house HH! Unit Llp � q sP 12�Z- 3s-9 0 WL Addre50"I' wnl 4 r-� `hrcct 5�V ._ _— Project _ 1"sia Attach IOW 14) copies of plans lot proposed work • Ga. to scale and note the following es aPPI'Cable stagy a Property Lines a Centerline of street /A e Oull.ne and dimensions of all existing and a Indicate NorthW proposed structures on the lot a Show any proposed grading changes • Existing and proposed utilities a Show messummenls erlsse 00 NOT WRITE BELOW THIS LINE O PERMIT CONDITIONS Inspection shall • phone 259.5810. All Cells for 24 lira it phis 11 bp 2 Allw 'I be performed In accordance Wllh this permit and current City of Evelolt Design and Construction 2 in ccor per Slal..ards and Specifications. 3. Calj Locallon Unde�round 8ervke 481}.a befits you op TOLL FREE NUMBER 1.8?1 424.5555. lint 1 Inet.e1 rock cone .rurtlon Rnt.ranco ba rlvewey na per city standard 020A and erosion control an directed by Public WOrkil Inspector. 5. Keep city streets clean at all times 6. Curb gutter arrd sidewalk in thin plat are new and undamaged, any dr.mage thereto shall he replaced at the discretion of the lasse ` Public Works Inspector. 'A 7. At.y change in the driveway cut must he approved by the PW In- V+ - spnctur, width at prop line limited to existing apron width S. Connect a!]. roof, yard and driveway drains to storm drain O system prrjvided to lot. P. Adjust rater boxes to grade at end of construction. li 10. Driveways shell be completely cured before driving on them Gu CYlr Ku,, ! cr4 8 l93 Approved to, Construction I Date FINAL INSPECTION Date Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Famo L WA 08201 I Phone 259-8e10 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold end save•ha•m, less Ins City of Everett from any and all claims for damages. costs. expenses. or causes of action Thal may ante because of Installation and maintenance of the Impfovamenl 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 damaged thereby. W3RK AUTJIORIZED 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 3TOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.