201 93RD ST SE 2018-01-02 MF Import

Date—3/c,/86 Application For PUBLIC WORKS PERMIT Print or Type Only Publ.0 Work, Perms e / 4; emv petit , 86/16173 Public Work, Fee Total roe ` Lee,,PPI Fee Paid S 9aunce Due Boyden Realty, Inc. 1429 Broadway Everett 98201 252-1166 Owner Mailing Address City Zip Phone J . D Builders 1429 Broadway Everett 98201 252-1166 Applicant Mailing Address City Zip Phone Describe Proposed Work New Single Family Residence Lc,6n-3 Uj Project Address of known) 201 — 93rd St.,S.F.. Everett Attach four 141 copies of plans for proposed work - Draw to scale and note the following as applicable. w * Property Lines • Centerline of street N Outline and dimensions of all existing and • Indicate North M♦ proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS O 1. All calls for Inspection shell be made 24 hrs in advance - phone 259.8815. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standarei and Specifications. 3. Gaff Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. 4e ANY GRADING DONE ON ':HIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE SURROUNDING LOTS WITH RAINWATER RUNOFF. /� 5. DOWNSPOUTS FROM THE BUILDING ARE TO BE TIGHT -LINED TO THE PUBLIC " DRAINAGE SYSTEM, 6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE APPLICANT, FM C i/ O^ 1n Ap oved forgApsluff5tion 5 Date �. 8 FINAL INSPECTION Date - AT proved as Constructs evvn•b PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259.8815 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims rot damages, costs, expenses, or causes of action that may arise because of Installation and maintenance of the improvement or other right-ol-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby, L Signature of Applicant ate WOPK 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 90 DAYS DURATION.