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� <br />TYPE CR PRINT ONLY <br />n�q�m F« 5/27198 <br />PUBLIC WARKS PERMIT �te <br />FUBLIC WORKS DEPARTMENT <br />3200 Cedar Strae; <br />Everett, WA 98207 259-8810 <br />TO POSTING�r <br />Publk Wwka Pertnk k <br />2 4� euudtr� aenr�t �r Sd904 <br />Public Works Fee S �/✓ <br />HOE HUN 9212 lOTH AVE SE EVERETT 98208 347-1172 <br />Owner MallincAtlAruss Ciry Zip Pltone <br />CONTACT: CURT JHNSON 337-4733 <br />Applicant Mailing Address City Zip ?hone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />NEW DUPLEX - BAS: <br />os-is-9a <br />+s4.,�o <br />SRi.Hu o..`.0 <br />Attach four (4) copies ot plans for proposed work - Draw to scale and note the following if applicable: �1kTVc ^G. CO <br />•Propeny Lines 'Uutline and dirnensions of all existing and proposed structures on tha lot •Existing�nd proposad ujil '�4e�� <br />J <br />'Centerline of streat •Indicate Nonh •Shnv, any proposed grading changes •Show measurer�` 7Q, GO <br />--�--� --....-------• ....--•••— -FUT'Ai. 3739.�� <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 accordanca witii this pe �nit and current City of Eve�t�Cyes{g}i and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUiS58ER 1-800-d24-5555, <br />Inslall an infiltrcrtion t:ench built as per 5ec(ion 3-2.6.2 and P'igure and Table 3-2.2 of the city <br />Sto�7nw;iter hl.uiti�ement IV[atiu:il (copy's stapled tn tliis pern� it). Tlie infiltration lrench ehall <br />iio cioser thtm 5 feet to amy iip slope property line or foundation nor closer tt�an 10 feef to any <br />do��nslope proper�y line or foundation. C�(I Public ��lorks for a�i inspection prior to covering <br />t�����t��5. <br />F'x:un�le: 17iis stn�ature has �pro�:. 2� Sq. Ft. of imprervious roof are�. i hc�refore <br />❑:l SOII I:If15S OE�IOnuev SQIilI IS s�sssumed a�id tl�e i�dillr�tion trench iy coustucted <br />31? deen «:rl J%1. ivirle, f�om table 3-2.2 the trench should be =' � 1. Lon . <br />It is the d: veJopers responsibilit�� to identifv the soil class in the field and if conditions in the field <br />v:�v from those in iha exsuepl�� - acljust ciccurdi��Gly uein,G tlie above mautioned taUle sfs a quide. <br />O <br />♦�A <br />V♦ <br />O <br />a <br />�. :ldlicre to tl�e city'� sma11 p�uccl best m�uiagement practices as stated in section 2-2.2 oFthe citp <br />DesiGn and i'onstniction St:uidards �nd Specifications i'orDevelopmeut (attac}ied). � <br />ACKNbwLEDGeMENT OF CONDITIONS <br />'n �( /' /� G� The undersigned owner/appllcant hereby agntes to hold and save harmless <br />�' (�( (P 7 the City of Everett from any and all claims tor demages, wsts, expenses, or <br />x� nstru ' n � Date causes of actlon that may arise because of Installatlon and maintenance of <br />;" the Improvement or Mher right-of-way use he2to �plfed fw and furthar agrees <br />-� � to remove same upon notice from the City and to replace pub"c property <br />;� � �--� �-� �( s'-�'� damagsdthereby. <br />ruvn� uvorcv i iv�� UaIB <br />Appmved as Constructed � � <br />UiG�� µnL %% d�ii5 <br />Si atur f Applicant pate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS Of DATE PERMR ISSUED AiJD THEREAFfER IS TO BE DILIGENTLY PUR�UED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 80 DAYS DUFIATION. <br />