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i <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 <br />�azs� zs��ee�o <br />Te PosTiNG <br />ANDADDR sSFLaICE DJIVID <br />10704 64TH PL W <br />MUKILTEO W11 98275 <br />vHONe: ( 425 ) 315-9106 <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PlV <br />- B11SIC 2076 <br />APPLICANT NAME <br />ANDADDRESS: <br />PHONE: <br />oeia <br />Public Works Permit p <br />Building Permit a <br />'Ianning Re�erence p <br />Fu61ic t:'edcs Fee 5 <br />Guarantee S <br />19 W MCGILL <br />02-17-00 3:44FM <br />N 0001018 <br />PERMIT CONDITIONS IAT ��I�'RT PLA'�4G�7 <br />PLAN CY 4.55 <br />1. All calls for inspection shall be inade 24 hours in advance - phone (425) 257•8810 PLUMB 77.(� <br />2. All work shall be performed in accordance with this permit and current City of Everett �n and Cob@trppion <br />Standards and Speci(ications. [�Iy �0.00 <br />3. Call Locatiun Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-�nrq�4-5555 10170 <br />4. Inetd) aa infilhation trench built ae per the City's "Iteeidentid Roof 1 <br />eized ae per the city'e Table III-3.2 "Roof Downepout Syeteau Sizing" <br />iniilt�ian trench e6a11 be no closer t6�n S feet to �y up efope proper <br />cloeer than 10 fert to eny duwn elope property line or foundotioo. Fim <br />approved by Publie Wa1ce Iuepeetor. Cdl Publie Waice for an inepec <br />Ito <br />or1 <br />A UHS997 <br />Example: TLie ehucture ha approx.1610 Sq. F�. of impervioue roof rea 'Iberofore if a <br />eoil clre¢ ofloamv sand ie aeeumed end the infilh�tion heac6 ie canetruded <br />3ft. deen and 3ft wlde, from teble 3-2.2 t6e tronc6 e6ould be IS . lon . <br />/ <br />ei/2e/2eee <br />PW0001-068 <br />C0001-018 <br />$20.00 <br />" detail nd <br />nit. '!be <br />m,nor <br />field <br />It ie t6e developere reeponeibility to identify t6e eoil claea in the fteld �d if caoditione in the field <br />vary Srom thoee in t6e exemple — adjuet �ccordingly ueing the above-mentioned teble ae aguide. <br />S. Provide four off etreet (o$' eseemeut) p■ltwg etdle. <br />6. F�ccavated meterial �om thie eite ehall be 6wrled away to en opproved receiving eite or, with the <br />Public Worke Inepectore prior approvel, may be ueed to fill in low rreae on the lot. Exc4vded <br />material e6e11 not be mounded eo ae to create drainrge or eroeiaa problem� an acljoiniag propeKiee, <br />7. Sueet flow driveway tuno$'to a rodc filled trench along one or both sidee of t6e driveway. <br />�.,,.�. ,,,� ,..,,...,.,..,... .,o,� <br />�� /�LN7�i, U'C-�i.v�' � '�ao J <br />FINAL INSPE TION <br />ApproveCasConsWcletl Dete <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />� <br />� <br />� <br />a <br />Tho undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all claims for <br />damages, costs, eKpenses, or causes of action that may arise <br />because ol installation and maintenance of the improvement or <br />other rightvf-way use hereto aoplied tor and further agrees to <br />remove sar.:e upon tice from the Ciry and to replace public <br />propeAy damag ere <br />'� I —l.l) <br />ignatureolAppKant Oate <br />WORK AUTHORI2ED BY TNIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. TMIS PERMIT MAY BE CANCELLEU BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />