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� <br />�� <br />TYPE OR PRINT ONLY <br />ApPlitetiat Fm <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Evereri, lNA 98207 259•881� 1 8� <br />TO POSTING <br />Date 7-8-98 <br />Public Works Pernil X ��(►L/� <br />Building Permtt M 59417 <br />Public Works Fee S ?+�J <br />Ralph Schuck 20717 36th Ave NW Stanwood 98292 360-652-1309 <br />Owner Mailing Address Clty Zip Phone <br />Owner <br />Applicant MailingAddress City Zip ` � '�Phone � <br />f� SY'vl" <br />• t'U'=D 873.'�:; <br />Descrihe Proposed Work <br />PROJECT ADDRESS (if known) <br />YECN 60."v4 <br />a,v�im� y�.�v <br />D"nri'e 20.<<i. <br />n �cio <br />Lot 3 SP 119���8 �:�.�� <br />. J [..' <br />Attach four (4) copies of p�ans for proposed work - Draw ta scale and note the Pollowing it epplicabie: SEii_T; � i;, U(! <br />•Property Lines 'Outline and dimensions ol all existing and proposed structures on the lol •6cisting ailCjxopa6ed.killit[es�, �, <br />•Cemerline ot street •Indicale North •Show any proposed grading changes •Show measurementsT�`�._ .;S�L.:-5 <br />DO NOT WRITE BELOW 7HI5 LINt ,i Cr,7�3S <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this pertnit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42M5555. <br />[n�t.dl cui iniillralion ire.nch builf �s per Section 3-2.G.7_ auJ I�irure and'fablc 3-2.2 of Ihe city <br />Sionn�vnler ni:magement Alfwuul (copy's stapled to thia p�i7uit). 'll�e infiltrntion ireucl� :hall <br />no closer Wan 5 fee; to �uiy up slope properly litte or foundation nor closar th:m 10 ieel lo any <br />doi�nslope propeita line or Cow�dalion. Csdl Public Works for o�� inspectiou priur to coveriur. <br />t�-E��«i�r,. <br />EXiUIl�lIO: TI116 SIIIIC(lIPC II�F ��7�)I'OX. � 7"� Sq. Fl. oF imprervious roof t�re:t 'llicrclore � <br />ifaaoil clnss oClnnrrn+.rniid is nsseum�d smdth� iniihration U•ench is constuct�d <br />.:lY. deen and J/k. widc, l�om taUla 3-2.2 lhe• Irrnch should be �q. Lo� . <br />� <br />O <br />� <br />� <br />O <br />a <br />It is the deve.lopets responsibilily to idenlify the soil cl�ss in the field wid if conditiona in We field <br />� ary ti om thos�. iu tlie example - aclju:�l accorJiqgly using tl�e. abov� mentioned tabla as n Guide <br />3 �If�. �.N--- 6 -/3-F9 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underslgned owner/applicant heraby ag�ees to hold and save hsrmless <br />the Clty of Everett irom any and aIl clalms for damages, costs, expenses, or <br />causes of actlon that may arise because of Instwllation and maintenance o} <br />the Improvement or other righl•ol-way use hereto applied for arrcl furthur agrees <br />to remove same upon notice fiom the Clty and to replace publk property <br />damaged lhereby. � <br />%�3-l�i <br />Slgnatu � f Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND TNEREAFTER IS TO BE DILIGEN7LY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLEU BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />