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Application For <br />OL PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA98201 259.8810 JAN p g 1997 <br />Tn POSTING-'- <br />TYPE OR PRINT ONLY — <br />RALPH SCHUCK 20717 36TH AVE NW STANWOOD 98292 <br />Owner Mailing Address City <br />Date 5/9/96 A <br />Public Works Permit If 9Co /I>q <br />Building Permit 4—_ 51687 <br />Public Works Fee $ 2l <br />Zip <br />652-1309 <br />Applicant Mailing Address <br />City Zip Phone <br />Describe Proposed Work NEWHOUSE — BASIC 111 05/21/945 11:15AM o00AN589 r t:kk1 <br />/ <br />BLDG $699.00 W <br />PROJECT ADDRESS (if known) <br />MECH $60.00 ,vw) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: SLIT— $8 <br />•Property, Lines `Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Centerline of street •Indicate North *Show any proposed grading changes 'Show measurements <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 accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-s555. <br />11. Keep city streets clean at all times. <br />5. Curb t;trtter and sidewalk in tine plat are flew and undamaged, 3rry damage thereto shall be replaced at the <br />discretion ofthe Public Works Inspector. <br />6. Atry change in tie driveway cut nest be approved by the Public Works hlspector, width at prop lute Wrtited <br />existing apron width. Driveway may taper gradually to nleet garage door entrance (tor an aproo , (? eau <br />garage). <br />7. Adjust water boxes to grade at end of constnrction. <br />8. Division 2 Lots lots 3,4,5 & 8 shall dischvge rootlop drainage to the lots infiltration trench as per 11te <br />"Dispersion 1'rel'ch Delail" on shed 5 of the plats constructions plans. A Ineconslmction nleeal taus, be <br />schedtded with Alan Locke (383-9655 ntob. or 259-8310 office) prior to installation ordle udilnadon system. <br />Airy change in the infiltration trench nntst be approved by the Public Works htsprctor. All other lots or <br />Division 2 shad, ahscharse rootlop drainac� I` the stems (rail' slob provided to the lot. <br />ca <br />0 <br />Mill <br />0 <br />VJ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />�� /�� The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />App%Construction Date causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />INAL INSPECTION damaged thereby. <br />FDale Approved as Constructed <br />r- yG <br />Signature f App leant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ANe <br />D THE EAFTER IS TO BE DILIGENTLY PURSUED T <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />