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�� <br />TYPE OR PRINT ONLY <br />AppliWtion For <br />PUBLIC WORKS PERNlIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 2G9-8810 <br />TO POSTING DEC 1 6 1� <br />/� <br />Date 1/14/98 <br />Public Works Permit M � � __ <br />Building Permit N 57631 <br />Public Works Fee $ � <br />ISENHART DEVELOPMENT 19619 6TH DR SE BOTHELL 98012 425-487-1b51 <br />Owner MailingP.dd�ess City Zip Phone <br />CONTACT: CItAD 425-745-3930 <br />Applicant Mailing Address City Zip Phone �� <br />Describe Proposed Work <br />NEW HOOSE <br />PROJECT ADDRESS (if known) Z� <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following it applicable: EUI I_� Bc3. �S <br />� a <br />•Property Lines 'Outline and dimensions o1 all existing and proposed structures on the lot •F�cisting �ryroposed utb�es�C <br />•Centerlino of streat •Indicate North 'Show any proposed grading changes •Show measurert��� 4.50 <br />u <br />PERMITCONDITIONS: yv v �V��v v � 9637 <br />1. All calis for inspection shall be made 24 hours in advance - phone 259-88 � TER 650.00 <br />2. All work shall b� performed in accordance with this permit and current Ci , of�Everett D�s�t� and <br />Construction Standards and Specifications. EW u0 <br />3. Csll Location Underground Service 48 hrs. betore you d�g. TOLL FREE N�T �i 1�-5555. <br />57903 <br />�. instal! an infiltration trench buiit as per SPction ''_.� � and Figur�ta"fil'fable 3d2fH'rnfihe cify <br />;tonuumter �'�iswaqer�ent Msmual (copy's stnpled to this �.A!mit1. T74l�Ahfilt�ANr�rKCreuch sLaU l <br />uo closer th.^s 5 Seet to a�ry up elope property line or fom�J� lion nor cioser tlr• � eetGd'lV�f'� <br />do�w�slope property line or foundation. Cail Public �Vorks i�r �ui inspectie{� � o��o covering <br />irauche:=. <br />4��•mnple: This sinictnre h�s approx. I3O� 5q. I�t. of impren�ious rooFarea. Zherefore � <br />if n soil cia:�s of! »�uiep su�ad is asssnmed cuid d�e iufiltrntion trench is constucted <br />.7lt. deen ruerl.?ft, ivide, from table 3-2.2 ihe trench sltould be I Z t. Lori . <br />11 ie th:� dc� �Inpers res�?on�il�ilit}� to ideutifj fhe soil class in the field and if conditions in the Iield <br />�f11V YI'0117 1l105c III (Il0 ZXfIIt1ElI0 - Fl(I�USI 1CCOf(IIII,GIY usinq tl�e above nieniioued t�ble as a guide. <br />��� U�. Adhere. ti� th� cit}�'s small parcel bast u�an�ement practices ae stated in s;•ction 2-?.2 of ihe citv <br />\' lles�gn and l'onstn�clion Sttuidards uid Specificatione for De.velopment (attachedj. <br />ACKNOWLEDGcMENT OF CONDITIONS <br />��� ��' The undersigned ownar/applicant hereby agrees to hold and save harmless <br />'� the City of Evr.retl from any and all c�alms Por damages, costs, expcn� .��., or <br />�-� causes of action that may arise because of installa�ion und maintenance ol <br />Appoved�orCon t tion �� Date theimproe�ementorotherright-of-wayuseheretuappliedforandfurtheragrees <br />to remove same upon nolice (rom tha City and to replace public property <br />- �— ✓ _'S-�8 damaged lhereby. <br />FINAL INSPECTION Date <br />Approved as Con,tructed �� /��� <br />H� a-�Z-98' <br />Slgnature of Applicant Date <br />WORK AUTHORIZED B'f TIiIS PERMR� MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIY IS ISSUED AND THEREhFT�R IS TO BF. DIIJGEP: �LY PURSUED TC <br />COMPLETION. THIS PER671T MAY BE CANCELLED BY THE CIN UPON ANY Sl"OPPAGE OF W']RK Or! THIS PROJECT OVFq �p DAYS OUknTiON <br />