Laserfiche WebLink
Date_]!6Vb6 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public works Permit e `:' 1� _ ", <br />Bldg Dept a 86/16171 <br />Public Works Fee <br />Total Fee <br />Len eppl Fee Pend S <br />BalerKa pus <br />Boyden Realty. Inc. _ 1499 Broadway Everett 98201 252-1166 <br />Owner Mailing Address City Zip Phone <br />J B D Builders 1429 Broadway Everett 98201 252-1166 <br />Applicant Mailing Address City Zip Prone <br />Describe Proposed Work New Single F=mi 1y gnwi Annre <br />Project Address lit known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as 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 grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 tits. in advance - phone 259.8815. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 his before 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 />DRAINAGE SYSTEM. <br />6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />APPLICANT. <br />UJ <br />�flrfw <br />W <br />0 <br />wal <br />Cl)V <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs. <br />expenses. or causes of action that may arise because of Installation <br />e- 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 />A oved for truc}1C / Date City and to replace public property damaged thereby. <br />. <br />FINAL SPECTION Date <br />Approved as ConstructsSignature of Applicant . Dale <br />t•'..-rnll PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />Everest. WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Phone 259-BB25 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />