1805 PUGET DR 2018-01-02 MF Import

r7 —4 tnAdiN21- TYPE OR PRINT ONLY Owner 0 ppff Application For Date / PUBLIC WORKS PERMIT aa 17on PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257-8810 TO POSTING wl 2120 Meiling Address City Public Works Permit # Building Permit fnllg0t —QA Public Works Fee $ Zip Plane Applicant Mailing Address City Zip Phone Describe Proposed Work PROJECT ADDRESS (if known) Attach four (4) copic , plans for proposed work - Draw to scale and note the following if applicable: • Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 6L,46h 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. 4. S&W flewkivn W faladite a fodr filled trracb alaag aae 1r halt, tritflo of ilia thivewyr 5. Install an infiltrftioc trench built as per Section 3-2.6.2 and Figar and Table 3-2.2 of the city �E L- 1 Stormwater Macro pemad Manual (copy'@ stapled to this peemill . 7be inffWation tmacb shall 0-� be no closer than 5 feet to my up dope property line or fomdstim nor closer than 10 feet to my dowu@lope props" line or foundation. Potential adverts impacts on existing and 0 \0 proposed buildings must be considwW and avoided when locating in6ltnYion trenches. Call G�tr RLVExamp Public W Ibis for an s structure hason prior approx.tocovering l O Sq trenches. P Ft. of ion gals roof area lberefaro if a soil class of fenny in aaumod and the mtiMRim trench is caMndsd JA dew and JA ltrtdf, fi+om table 3-2.2 the Mach isald be l (p JLS wick It is the developer responsibility to ideatity the soil class in the field and if conditions in the field very 5em those in the example - adjust acc xdiogly uiog the above -mentioned table as a guide. U * F-x�ll /-6-DO FINAL INSPECTION Date Approved as Constructed z 0 110011111 U) 0 a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owrtadappicent hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs. expenses, or causes of action that may arise because of installation and maintenance of the improvement or otter tight -of -way use hereto applied for and further agrees to ova @ousts y m Y s from ate City and a replace public property dam- ereb WORK AUTHORIZED BY THIS PERMfT Mt1ST BE STARTED WTIM 180 DAYS OF DATE PE IMIT IS ISSUED AID THE EAFTER IS TO BE Da1GENRY PLIFMED TO COMPLETION. THIS PERMIT MAY BE CANCEL!® BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PRCiECT OVER 90 DAYS DURATION.