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i <br />Application For <br />PUBLIC WORKS PERMIT Data <br />12-26—�9%6 _ <br />PUBLIC WORKS DEPARTMENT Public Works Permit # _! 7/00 7 <br />3200 Cedar Street <br />Everett, WA 98201 259-0810 Building Permit # 53847 <br />Al1G 0 4 1991 -- — <br />TYPE OR PRINT ONLY . O POSTING.— Public Works Fee $ 00 <br />Neslen Welch 6322 76th Dr SE Snohoniu_h 98290 337-3528 <br />Owner Mailinq Address City Zip Phone <br />Owner _ <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work <br />new house <br />C11/27/97 7" "F. nri <br />1;: M <br />90000847 <br />P,1:13 463.00 <br />PROJECT ADDRESS (if known) 8014—B Beverly B1 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the folloNing if applicable: SR CHRG 44.50 <br />Tt1 <br />•Proporty Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and pro o59il�utllitles '�0' <br />00 <br />-Centerline of street 'Indicate North •Shaw any proposed grading changes •Show measurements ON CHI— $7.4'. <br />N000092.>4 <br />PERMIT CONDITIONS: H00030943 <br />1. All calls for inspection shall be made 24 hours in advance -phone 259-8810. 5E'sER 470.Ou <br />2. All work shall be performed in accordance with this permit and current City of 5V&F8 t'D&iljftnd <br />Construction Standards and Specifications. CHECK <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6555. <br />install an infiltration trench built as per the city's "Residential Roof Downspout System" dentriil an <br />sized as per die city's Table ID-3.2 "Rool'Downspout System Siring" stapled to this pernnit. The <br />infiltration trench shall be no closer than 5 feel to any up slope property line or fb ndatiou nor close <br />Ihaui 10 feet to any dowaslope property line or foundation - final location shall be field approved b} <br />Public Works hipector. Call Public Works f%tr an inspection prior to covering trenches. <br />Provide four off street (off easement) parkiing stalls. <br />E^cavated material from this site shall be hauled away to at, approved receiving site or, with the <br />Publi: Works Inspectors prior approval, may be used to till in low areas on die lot. Excavated <br />material shall not be mounded so as to create drainage or erosion problems on adjoining properties. <br />1, <br />,Z ked 4-as47 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />co <br />O <br />Mill <br />0 <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove sama upon notice from the City and to roplace public property <br />damaged thereby. <br />kt 1 <br />%itinsl. WAll, t 1 2.1 9� <br />Sign re of Applicant I. Diste <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />