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� <br />� <br />Apv��etion Fa <br />PUBLIC WORKS PERMIT <br />TYPE OR PRINT ONLY <br />Jerry 6 John <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work � <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 259-881Q„ ' 4 � <br />Tn POSTING "��=---- <br />Const 16332 6th Ave NW <br />Mailing Address <br />Mailing Address <br />ew house <br />6035 Flemiag St <br />i" <br />Date 8-25-98 <br />a�a�� w«� a�n �r �8�Z74 <br />Bullding Permk x 60025 <br />Public Works Fee $ <br />98223 360 652-9813 <br />Zip <br />Zip <br />��.-. :: �, <br />Attach tour (4) copies of plans for proposed work - Drew to sca�e and note the tollowing If applicable: -- -� �- i�,4, i%: <br />•Property Lines 'Outline and dimensions of ail ezisting and proposed structures on the lot •Existing anC proposed util`Af9s�'��- <br />'Centerline oi street •Indicate North 5how any proposed grading changes 5how measurem `eiits'�� +- ��` <br />uvrvVi WMIIttStWW IHISLINE _; i"; ,_.,:; <br />PERMIT CONDITIONS: ,_,, ; � � <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-881U:J�:; ,,„ <br />2. All work shall be performed in accordance with this permit and current CityiofiEVerettDiDSiosi and <br />Construction Standards and Specifications. ' _ .,._ _�;,;4, _: <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER i-w"^fr424-55y�, �_, ; <br />:j �?N�1'��� <br />! 1_n��tall �u� infiltration trench built a� per Section 3-2.6.2 :uid Fignre and "fable 3-2.'_' ofihe citv <br />:itnrni�ti<itrr 1{swace:uent :41ti�u11 (copy�s ;t<ip�ed lo this penuit). 77ic infiitration h•ench �hall 1 <br />no c lo.>: r tli.m 5 tecl to �mv u�, slope prope�i�� liue or Cotwdalion nor closer t6�m 10 fert fo tu�i� <br />duwuslope �mope�ia lin�: or iou�idation. Call Public 1Vorks tor an inspectiou �irior ro covrrii <br />It�,•tICItPS. <br />1G <br />L� <br />rr,`,���� �I�,. <br />� <br />f "I'hie sfnic!ur:� I�as ;ipprox. �4'U Sq. I't. ol� imprervioas rnof m��a. 77��retorP <br />tf a soil cLi,s oi�luamp sund is assswnrd smd ihc. intiltr;LLion tranch is constucted <br />.�J't. decn anrl.;%t. tirid�, lirom lable 3-2? itte t:ench shonld b� � 3 t. Lan . <br />it i� tl�. c! �� •lo�,� r-� respou�ibility tc� ide�ilili� Hl': SOlI CIflSS lfl �hP flt'I(I FIIiSI l� COfI(II(1Of16 Ifl UlP fIBI(I <br />���u.� [i o�n tl;ose iu tl�e exa�nple - arcli���f aiccordingiy using tt�a fiboe•e mzntionad ts�ile .0 si,Guide. <br />`.cUi:�r:� to die cih��< <n:all p�u-c:�l best iu�ui�cewent practices as stated in ,ection ?-2.2 oftlie citv <br />`� ��: �ien and i'on�truction Stand,u'd, smd Specifications f'or Developrne�d (.�ttached). <br />✓ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />p The undersigned ownedapplicant hereby agrees to hotd and seve harmless <br />�(. �� - C,� the City oi Everett from any and all claims for damages, costs, expenses, or <br />Approved for Constiuction � Date causes of action that may arise because of instailation and maintenance ot <br />/ the improvement or other right-oi-way use heieto appiied for and turtheraprees <br />� i to remc�ie same upon notice from the City and to replace public proparty <br />.� � �_�1_—�--� a' �,'f !�'L�` damagedthere6y. <br />AL I � SPECTION Date <br />Approved as Consiructed ' <br />/y F <br />Sign of Ap licant Date <br />WORK AUTHORIZED BY THIS PERMIT h1UST BE STARTED WITHIN 180 DAYS OF DATE PE UED AND iHEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE C17Y UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS WRATION. <br />