Laserfiche WebLink
Applicstimpp��������GG DEC 16 <br />PUBLIC WORKQPERMIT � 1-2- <br />PUBLIC WORKS DEPARTMENT Pudic Works Permit N <br />3200 Ceder Street <br />Everett. wA9=1 259.9e10 BuNdingPenni « 5755t <br />TYPE OR PRINT ONLY <br />ilm In 8' g <br />_ 01 <br />~ � JUST RITE CONST 6805 BEVERLY BLVD EVERETT 98�i3 0181? <br />.IM CEO. <br />owner Mailing Address city Zip <br />OWNER „hl 9 9Qg(, sp W_ R5 ~�r,e <br />Applicant Mailing Address City oa ,i � W a S t` <br />Describe Proposed Work NEW HOUSE - BASIC 1255 FLU <br />PROJECT ADDRESS (if known) 1705 PUGET DR <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: O <br />'Property Lines 'Outline and dimensions of all existing and proposed strictures on the lot sExlatkg and proposed utilities <br />'Centerline of street 'indicate North 'Show any proposed grading changes 'Show measurements <br />PERMIT CONDITIONS: Z <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-NIO. O <br />2. All work shall be performed in accordance with this permit and curretlt City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14X*-424-555& <br />I Install an infiltration trench built as per Section 3-2.6.2 and Figure and Table 3-2.2 of the city <br />Storinwnter Management Manual (copes stapled to this permit). The infiltration trench shall O <br />no closer than 5 feel to arty up slope property line or foundation nor closer than 10 feet to any 0 <br />dowrtslope property line or tilundatinn Call Public Works for an inspection prior to covering <br />trenches. <br />Example: This struchlrc has approx. 115D Sq. D. of imprervions roof area. "Therefore <br />if a soil class of locnny stand is asssurned mid the infiltration trench is constucted <br />3R. deep rued 3a wide, from table 3-2.2 the trench should be (0 15 R. Long, <br />It is the developers responsibility to identify the soil class in the field mid S conditions in the field <br />vary from those in the example - adjust accordingly using the above mentioned table as a guide. <br />.adhere to the city's smnll parcel best management practices as stated in section 2-2.2 of the city <br />` design mid Constniction Standards and Specifications for Development (attached). <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appkant hereby agrees to told and saw harmless <br />the City of Everett from any and all claim for damages. costa, expenses, or <br />Approved for Construction Date causes at action that may arise because of ktsteNetlon and meMbrwroe of <br />the knprovwnaM or other right-of-way, use hereto applied for and Mteragrees <br />to remove same upon notice from the City and to replace mW property <br />damaged thereby. <br />FINAL INSPECTION Date <br />Approved as Constructed x� &C^C� <br />� J 7 <br />Signature of Applkerd Data <br />WORK AUTHORIZED BY THIS PERMIT MUST BE SIARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGOMY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT)ON. <br />