111 MADISON ST 2016-01-01 MF Import

PUBLIC NVOI�KS PERMIT PUBLIC WORKS DEPARTMENT 320G Cedar Street Evcrett, WA 9820i �nzsl ze�-seio JU� 0 5 2001 TO POSTING OWNER NAME ANDADDR�,ONAS AL 5009 SEnHURST AVE EVERETT WA 9R203 PHONE: TA% PARCEL I.D. s DESCRIFTION OF PROPOSEDWORK: NEW HOUSE - BASIC �1i6 PW Date i/i�/2ooi ! Public Wcrks Permi� q pp]0101-017 6uilding Permit q Planning Fefercncn q Public Wotl<s Fcc S Guaramee 3 rolol—ol:i $ 25.U0 APPLICANT NAME A�ID ADDRESS: STONAS AL 5009 SEAHURS'I' AVE PHONE: EVERETT WA 982G3 S�C�� 4,�� PLUh6 G4.,tiG 14ECH GC.00 DFIVt '�'S.CO — — ft OlU1C27 PERMIT CONDITIONS LUT 2 3H��I�LAT ! 2d� O�A� 1. All calls for inspecP.on shall be made 24 hours in advance - phone (425) 257-8810 �-�� Y 296.00 2. All work shall be performed in accordance with Ihis permit and current City of Everett De�sig'n�nd C;t��ru�on Standards and Spe�ificalions. 3. Call Location Unde: ground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-555� ;;,y.114;i i.:ti-;`F;: ^:i7�t:u:: 4. Tnetall an int�ltr ation / clispersion tmnch built as per Section 3-2.G.2 :uid Figure and Table 3-2.2 of the city Storn�uaterMa��agement Manual (copy's stapled io this pennitl. 'Ll�e iafilh-ation trencit ahall be no closer ihan 5 feet to any up slopc property I�sie or foimdation nor closer than 10 feet to any downslope ��ropeity luie or foundation. Call Public Works for a�i inepection prior to covering trenches. Example: This slructure has approx. 1150 Sq. Ft. of impervious roof nrea. ThereforF: if a eoil class ofloaunv san�l:s asswned a��d tlie iniiltration Mencti is conshvcte.d 3R. deen and3r2 wtde, from lable 3-2.2 the lrench shcuild be 21 La� . It is the develope�s responsibility ro identify the soil class in t6r field a��d if conditiono �in tLe. fiald vary fi•om th ose in the exaznple - acijust accordingly ��in,g the above - mentioned table as a guide. 5. Install side sewer �p to house per City Standard #bUl. � �� �IAn ?, 5 2001 CITY OF EVERETT Permit Services ACKNOWLEDGEMENT OF CONDITIONS W '"� � m � � The undersigned ownedapplicant hereby ayrees fo nold and save harmless tlic Ciry ol Evere« from any and all claims lor damages, costs, ezpenses, or causes ol action Ihat may arise because ol instatlation and maintenanr,e of the impiovement or othcr righbol-way use hcreln applied for and further a,7rees to remove same uoon noti�� from the City and to replace public propetly damag mr y. 4/ � �S_-01 gnaWreo sanl ✓ Date INORK AUTHOflIZED 0Y THIS PERAIIT MUST BE STARTED WITHIN 180 DA�'S OF �ATE PERYIIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTI.1" .^UFSUED TO COMPLETION. THIE'� PERMIT h1AV BE CANCELLED BY TIiE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DA'!S DURATION.