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T:.r.rx <br />�ue�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />"�'�57�b95T1 N G ""0 31 Zo� <br />BUNN J11MES <br />4998 S WHEEL DR <br />L]►NGLEY WA <br />(360)221-0934 <br />i.o. « <br />DESCR. �TION OF <br />PROPOSED WORK: <br />APPLICANT NAME <br />ANDADDRESS: <br />98260 <br />rHONE: <br />N0R PROJECTAD�RE� <br />Oate <br />Public Works Permit M <br />Buildinp Pemiit N <br />Planning Rnference N <br />Fubfio works Fee a <br />Guaranteo E <br />d998 S Wf�EL DR <br />L1INGLEY W]► <br />(360)221-0934 <br />02 <br />a 0002os <br />BUILD 1206.55 <br />SRCHG 4.50 <br />DRIVE 25.00 <br />ez/is/2eee � <br />Pweeez-eaa <br />C0002-021 <br />$ 25.00 <br />98260 <br />PERMIT CONDITIONS �T �� P�,�DDN OT EVERE'1T <br />PLAN G; 65.52 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 a 10199 <br />2. All work shall be peAormed in accordance with this permit and currenl Ciry of Everett f�� and Cor��r�ion <br />Standards and Specifications. <br />3. Call Location Undcrground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-8�0-121•5555 10267 <br />Figuretand Tab1ef312r2tofntheecitybStormvaterrMana��t'�i�land W <br />thar15dfeetttosanyruptslopehpropertyrlinenorrfoundation �FS'f°c��lose��han�J(%� <br />10 feet to any dormslope property line or foundation. Call Public WorksM <br />for an inspection prior to covering trenches. y�� <br />Example: This structure has approx. 1440 Sq. Ft. of imprervious roof O <br />area. Therefore if a soil class of loamy sand is asssumed and the <br />infiltration trench is constucted 3ft. deep and 3ft. wide, from tableZ <br />3-2.2 the trench should be 14 ft. Lonq. O <br />It is the developers responsibility to identify the sci2 class in the <br />field and if conditions in the field vary from those in tite example - � <br />adjust accordingly using the above mentioned table as a.7uide. y <br />5_ G���7A�7 Pub�iL 41URxS /NSP.�.GZoR �E.�/.viJ G.4C.SLM�►N /�7 O <br />339 -74�3 Fo2 APP�o�a�. oF v�AC�,,�„�T �(.iiDTH O/` U!'wv�wAY a <br />A �2°N • <br />_����..:�� �Jz�/oo <br />lor on Im � n Dal <br />l � <br />..� ll�� �'-1-- 9-1L-aa <br />FI AL INSPECTION <br />Approvetl as Consimc�eA Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/app�icant hereby agrees lo hold and <br />save harmless the City of Everett from any and all claims lor <br />damages. costs, expenses, or causes of action that may arise <br />because ol inslailation and m2intenance of tho improvement or <br />other righl-of-way use hereto aoplied for and lurther agrees to <br />remove same upon noHco hom the Ciry and to replace public <br />pioper damaged thereby. <br />"�✓ V' � <br />Sig reolApp:icam Dale <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WIiHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS'f0 BE DILIGENTLY PURSUED <br />TO COMPLETION. TNIS PERMIT MAV BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON 7HIS PRQIECT OVER 9U DAVS DURATION. <br />