7922 BEVERLY BLVD 2016-01-01 MF Import

TYPE OR PRINT ONLY Appi+catbn For PUBLIC WORKS PERMIT Describe Proposed Work PUBUC WORKS DEPAqTMENT 3200 Cedar Sireet Everett, WA 98201 259-BB70 i�" P�STIiJG nF.S 15 1r�98 PROJECT ADDRESS (if known) •�o:�o$�io-Uoo�� • M �vF�e� BivS' �t+E$�fi� ary �— - -� a; �� a �� '�� NEW HOUSE - BASIC 1255 j - �1e 11/26/97 Public Works Permlt M_ 7� 7 V BulldingPermltN------ 5%267-- Publk Works Fee S [Yl .r Z�P Attach four (4) copies ol plans lor proposed work - Draw to scale and note the fcllowing if applk.able: •Property Lines 'Oulline and dimenslons ol a�l exlsting and proposed structures on the lot •Existing end proposed utltities 'Cenlerline of street •Indicate North 'Show any proposed grading changes •Show massurements PERMIT CONDITIONS: 1. All calls for fnspectfon shall be made 24 hours in advance - phono 259-8810. 2. All work shall be performed in accordance with this pertnit and current City of Everett Design and Construction Standards and Specifications. 3. Call Loc�tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. In�t.ill �u� ir.(iltrnliou treuch built as per Se.ction 3-2.6.2 end Figure and T�l�ie 3-2.2 of the cily Sfonnwiler Mv�agement M:uival (copy`s s!upled to thie pennit). 'lhe infillr�tion lrench Fhall no closer th:m S feet lo tu�y up slope properly line or foundution nor closer than 10 feet to any dou�telope p�operty line or foundalion. Call Public Worke for an inepection prior fo coverin,q Ircnche3. [xvuplc: 'Iliis stn�cture lias ty�prox. 13� Sq. P'!. of imprrrvioue roof are� 'Iliereforc if a soil clase ofloa�w saied is aes5umed :uid the infiltration trench is conetucted ,t1Y. decn aur! �R. wlde, from tnble 3-2.2 ttie Uench should be /Z Lon . If conditions in Uic lield vsvy fi�om those in the exwnple - acljust accordingly u;inq thu above mcntioncd table as a guide. L' � 6 /�-98 FMAL IN'i� CTION Oate Apprc��hi as Constructed W H - V) � ��\ ♦ ACKNOWLEDGEMENT OF CONDITIONS Thx undersigned owner/applicant hereby a{;�es to hoW and sava hertnless Ihe Ciy of Everatl trom eny end all clalms for damages, costs, ezpenses, or causes of ecUon that may erlse becausu of Installatbn end malntenence o1 the Improvement or other rigM-ot-way use I�e^ato applled la and further egreea to rertwve snme upon notice fian Ihe Clty end to raplace publlc propxty g d there . � S na re of Appllcant ate WORK AUTHORIZED BY THIS PERMIT MUST BE 5TARTED WI7HIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE UIUGENfLY PURSUED TO COMPLETION. THIS PERNIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 80 DAYS DURATION.