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� <br />� <br />�� <br />TYPE OR PRINT ONLY <br />ApPlication Fw <br />PUBLIC WORKS PERMIT <br />PUBLJC WORKS DEPAH'.MENT <br />3200 Cedar Sireat <br />Evarett, WA 98201 259-8870 <br />T� POSTING JUN 0 5� <br />Date 7-LO-98 <br />public Works PermR N <br />Building PermN N 59416 <br />Public WorkS Fea.l � <br />Ralph Schuck 20717 36th Ave NW Stanwood 98292 360-652-1309 <br />Owner �lailingAddress C��Y Z�P P�1B <br />Owner <br />ApPlicant Mailing Address Ctty LP �O� � <br />Describe Proposed Work <br />PROJFCT ADDRESS (if known) <br />C7-�� s8 10:1tiAt1 <br />;� —55"+3b <br />E'JILD 8i3. � <br />GQ <br />Attach four (4) copies ot plans for pmposed'Nork - Oraw to scale end nute ihe folbwing H applicable: DRIV^ �'v. `%�? <br />•Property Lines `Outline and dimenslons of all ezisting and proposed siructures on the bt •Existing andqopused uHWees��;� <br />•Centedine of street Mndicat+ Nonh 'Show any proposed grading changes •Show measurertlbnts SEl i <br />QO NOT WRITE BELaW IMI� urvt N 31615 <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours fn advance - phone 259-88�0`rr. I Y 7Q GO <br />2. All work shall be perfortned in accordance with this pertnit and curren! City��Evere�ilesi8� and <br />Constructioo Sta�dards and Specifications. � ;��-; <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1, �� �-80G-�24-�• <br />W <br />� <br />�/� <br />V♦ <br />� <br />O <br />� <br />f� <br />� <br />In�tall nu infilirdioc irench hnill as per Section 3-2.6.2 and Ficure at�d Table 3-2.2 of Ihe city VO/ <br />Slonu�i:d�r Mmitiqement M�uw�l (copy's stnpled to this pennit). 'ilic iniiitratioti lrench shall b <br />no closer iha^ S icrt to .my up slopr propetiy line or founds�tion nor clvscr thm� IO fecl to any � <br />down��lopc prop:rty lin�: o�' Coundation. Call Public Works Co�' .u� iuspection prior lo coverinq <br />lrcaches. <br />Ex:unple: 'Il�is �tniclm-c has ;ipprox. �� Sq. Nl. of imprervions roof;uea. 'Iher.Core <br />if a soil class ofloa�it� sm�d is t�;ssumed a��d tliu iidiltretion trcnch is constucted <br />,7 rtee � mid3f� n'id:, from table 3-2.2 Ihe trench should be 19- ,�o�_ <br />lt is tli:� cievclop�•rs resj�onsibilily to identit'q the s:,il clas� in the tield and if conditions in the lield <br />. ai� li o�u tho�c in t6� cx:unpl�• - adju�t nccordiugly usinc dic abo���� mentioned twble �s a guide. <br />%17 8 <br />Ap roved for Ca �!^�ctlon Dala <br />� ' �� �'� 6 �/S-SS <br />FINAL INSPECTION Date <br />Approved as Constructrd <br />ACKNOWLED(iEMENT Of CONDITIONS <br />7he underslgned owner/applicant hereby agrees to hoM and save hartnlesa <br />the Clty o( Everett trom any and all clalms ror damages, costs, er.penses, a <br />causes of actlon that may arise because ot Installetion and maintenanca ot <br />the improvement or other righl-of-way use herelo appliod for and furlhor agrees <br />to remove same upon notice from the City and to replace publk propeily <br />damaged thereby. <br />7- a3-� <br />Ignat o1lWpllcant % Date <br />WORK AUiHORRED BY THIS f�ERM1T MUST 6E STARTED WITHIN 780 DAYS OF DATE PERMR IS ISSUED AND THERFJ1Fi:R IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT ��IAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />