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Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810APR 1 4 01 <br />TO POSTING -_--- <br />TYPE OR PRINT ONLY <br />Date 1-14-98 <br />Public Works Permit M ole O 3 <br />Building Permit 11 57607 <br />� <br />Public Works Fee $ W <br />D B Johnson Const 1801 Grove St IIB Marysville 98270 360 659 1579 <br />Owner Mailing Address City Zip Phone <br />Owner <br />8:28AM <br />Applicant Mailing Address City Zip H TTW <br />BUILD /55.00 <br />Describe Proposed Work new house PLUM, 63.00 <br />r1EC <br />ERCHB 4.50 W <br />PRIVE 20.00 ' <br />It 9633 <br />WATER 130.00 <br />PROJECT ADDRESS (if known) 5915 Fleming St Lot I SP 1144-9&,397 <br />` <br />SEWER 70.00 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: UTILITY 1296.00 <br />•Property Lines "Outline and dimensions of all existing and proposed structures on the lot 'Existing"pr osed- l#le5o <br />O <br />"Centerline of street •Indicate North 'Show any proposed grading changes Show measurements C f. EK <br />1 <br />DO NOT WRITE BELOW THIS LINE <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 permit and current City of Everett Design and <br />r <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555• <br />I (ivt;f11 ;in iutiltralion trench built as per Section 3-2.6.2 and Figure and Table 3-2.2 of the city <br />N <br />Stornimter hlanngement Manual (copy's stapled to this permit). the infiltration trench shall be <br />O <br />no closer than 5 feet to any up slope property line or foundation nor closer than 10 feet to any <br />downstope property line or foundation. Call Public Works for an inspection prior to cove.rinit <br />a <br />trenches. <br />Example: This structure has approx. (l 00 Sq. Ft. of imprervious roof area. Therefore <br />if a soil class of Imuny sand is asssumed and the infiltration trench is constucted <br />3ft, deep and ;fl. wide, front table 3-2.2 the trench should he 10 ft. Long, <br />It is the developers responsibility to identify the soil class in the field and if conditions in the field <br />vary front those in the example - adjust accordingly using the above mentioned table as a Guide. <br />5 .Adhere to the citv's small parcel best management practices as stated in section 2-2.2 ofthe city <br />i ).Firm :ulrl t on�truction Standards and Spec I ficat ions for Development (attached). <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and save harmless <br />O/ �$ 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 <br />of <br />Approved struct Date the improvement or other right-of-way use hereto applied for and further agrees <br />7forc <br />to remove same upon notice from the City and to replace public property <br />5' damaged thereby. <br />FI AL INSPECTION Date 2 <br />Approved as Constructed / / I � q t <br />Signature o plic Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS SUED AND THEREAFTER IS TO 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 />