Laserfiche WebLink
Date 3/6/86 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Permit. t3ac —/—/�e <br />Bldp Dept a 86/161Y7 <br />Pumb works Fee <br />Tout Fee • <br />Len April Fee Peud f� <br />Be4nce Doe <br />Boyden Realty. lnc. 1429 Broadway Everett 98201 252-1166 _ <br />Owner Mailing Address City Zip Phone <br />J s D Buildez3 1429 Broadway Everett 98201 252-1166 _ <br />Applicant Mailir Address City Zip Phone <br />Describe Proposed Work New Single Family Residence <br />Project Address (it known) 116 — 93rd Street SE <br />Attach four 14) copies of plans for proposed work • Draw to scale and note the following es applicable <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed gradirg changes <br />• Existing and proposed utilities • Show measurements <br />L <br />Iffffffff� <br />♦^ <br />y♦ <br />DO NOT NRITE BELOW THIS LINE <br />PERMIT CONDITIONS <br />1. All calls for inspection shell be made 24 hrsin advance - phone 259.8815. <br />2. All work shall be performed In accordance with tPts and City <br />permit current of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 hrsbeforr you dig. TOLL FREE NUMBER 1.800.424.5555. <br />4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE <br />SURROUNDING LOTS WITH RAINWATER RUNOFF. <br />5. DOWNSPOUTS FROM THE BUILDING ARE TO BE TIGHT -LINED TO THE PUBLIC <br />O <br />DRAINAGE SYS".,M. <br />6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />H <br />APPLICANT. <br />V/ <br />O^ <br />1m <br />AiiVoriecrio, nal ion Date <br />FINAL INSPECTION Dale <br />Approved as Constructed <br />i <br />PUBLIC WORKS DEPARTMENT <br />Ever Ceder Street <br />Everett. WA 98201 <br />Phone. 259.8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the 3ity of Everett from any and all claims for damages, costs. <br />expenses, or causes of action the! may arise because of installation <br />and maintenance of the improvement or other right -of way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGFNTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 10 DAYS DURATION. <br />