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� <br /> � PUBLIC WORKS PERMIT � °°'° llil'i9' / <br /> Pueuc woRics oew+arM�r Y wwo vw�.va,,,n« ���.�7_''_`�— <br /> Evasn,wA�i �25a-eeio � �y„y ae�mn• 57144 _ <br /> TO POSTING �� <br /> TYPE OR PRINT ONLY � � 8 8 � � 8 a 8 � 8 8 S3 � p'���s �— <br /> BLANK LYLE E PO SOX 226���vexLRi'T ��2@$M '�99a'472� <br /> owner MeNhq Addreea C�Y "i `� a aP �'b <br /> � � <br /> � <br /> �� <br /> Applkant Mallkg�a � � Sd � � � ��1Y.. s F aP �1° <br /> 'v� ili <br /> p���pro�,;�yyo� NEW flOUSE - BASIC 125k _ __ � <br /> � <br /> �� <br /> � <br /> PRWECT ADDRESS(ifknovm) 4722 GLENWOOD AVE IAT 4 SHORT PLAT 47-96 � <br /> Attach four(4)copies of ptans for proposed work-Oraw to scale and rwte the folbwkp H appliceble: O <br /> 'PropeAy Lines 'Outline and dlmenslons W all ezL-ting end proposed stniclures on the bt �Existirp and proposed utilitbs <br /> 'Centerline of street Mndicate North 5how any proposed gradinp ch�gas �Slaw measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <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 curtent City of Everatt Design an. <br /> Construction Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-500-424-6666. � <br /> � <br /> I. liistsdl <m uililtrution trench built as per Section 3-".6.2 and Fi¢ure tmdTable 3-2.2 ofthe city O <br /> Sloimwater Manaqement Ma�mal (copy's stepled tn thie pern�it). The infiltretion trench ehnll be no � <br /> closer U�a�i 5 feet to nny up slope property line or foundntion nor closer than 10 feet to arry downelo <br /> propert}� line or foimdation. Call Public Works for an inspection prior to covering trenchee. <br /> . � <br /> L'x�unple: 'Itiis etrvcture has npprox. ?�?Jed Sq. It. of imprervious roof araa Ttierefore <br /> if a aoil class of/umxl smed iR sussimied and d�e infl;7ation trench is cottetucted <br /> 3R. �Ie�n �ued 3fG ividc, from table :3-2.2 tlie trench sl�ould bc /8 ,�. L te• <br /> If conditions iii tha field very from U�ose in U�e exsmple - adjuet accordingly <br /> usi�yg Uie above mentioned table as a guide. <br /> ���� ACIWOYVLEIXiEMENT OF CONDRIONS <br /> „ � ihe underslpned owner/appllcant hereby agrees to hoW and eave hermlesa <br /> the Clty ot Everatt Irom any end ell claims for damapes.costs,expenaee,a <br /> ved for Co sWcti Date �auses W ectbn thet may ariee because of InstaMNbn and malnlenr�oe of <br /> AP the Impovertient a other righl-of-way use heieto applfsd for and firrtherapees <br /> to remove same upon notk:e fran the CMy and to replece publb WupMY <br /> � da y. <br /> FI AL SPECT� �e O <br /> Approved as Conshucted � / 9 <br /> ture of Applfcant Data <br /> � WORK AUTHORIZED BY THIS PERMIT MUST BE STAHTED WITHIN 180 DAYS OF DA RMIT IS ISSUE�AND iHEREAFfER IS TO BE DILJGENTLY PIMiSUEO TQ <br /> � COMPLEf10N.THIS PERMIT MAY BE CANCEILED BY THE CI7Y UPON ANY STOPP OF WORK ON THIS PHOJECT OVER 80 DAYS WRATION. <br />