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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evereh,'.VA 98201 <br />(425) 257-8810 NOV o 6 2001 <br />TO POSTING — <br />Date <br />Public Works Permit a <br />Building Permit N <br />Planning Reference k <br />Public Works Fee <br />Guarantee $ <br />AND ADDRESSFLAKE DAV ID ANNDDADDRESS. <br />APPLICANT DDREENAME <br />SS:SS. <br />10704 64TH PL W <br />MUKILTEO WA 98275 <br />PHONE. ( 425) 315-9106 PHONE: <br />02-17-00 3:471 <br />TAX PARCEL I.D.4 PROJECTADDRESS: 23 ti GIL <br />DESCRIPTION OF NEW HOUSE - BASIC 2076 SRI 4.. 50 <br />PROPOSED 'NORK: <br />Pw PLUNK 77.00 <br />Ki 60.00 <br />DRIVE 20.00 <br />PERMIT CONDITIONS <br />LOT <br />61/26/2000 <br />PW0001-069 <br />C0001-019 <br />$ 20.00 <br />1. <br />Ail calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 SEWER 70.00 <br />2. <br />All work shall be performed in accordance with this permit and current City of Everett I.i H4d1Y,d 16- (aidon <br />3. <br />Standards and Specifications. TDTA_ 2662.25 <br />Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555 <br />4. <br />stall an infiltration trench built as per the City's "Residential R wnepoUt „ detsiil <br />6i$.25 <br />ae per thecity's Tab 2 "Roof Do out Syeltem ing" st iit. TheYati <br />ch shall no clo than eel to up a property line or foundation, nor <br />Ld <br />10 et to down slop operty line or dation. Final location shall be field <br />ved by Pub 'c rke Inspector. Call Public Works for an inspection prior to cove ' trenches. <br />m <br />(�µ.tL <br />c lExample: 1hi cture h x.161 Ft. of imp roue 111 a. emfore if a <br />0 <br />to b <br />so' c a of 1 ne sum and rltration trench is constructed <br />Cat,01- y <br />3 . des td 3 wide, from table 3- , e trench should be 15 .ton <br />Z <br />i e evel9polisHisponsfailili identify the sor as c s in d if conditions in the field <br />O <br />vary from se in the - adjust accordingly using the above -mentioned table as aguide. <br />5. <br />6. <br />Provide four off street (off easement) parking stalls. <br />U) <br />Excavated material fiom this site shall be hauled away to an approved receiving site or, with the <br />Public Works Inspectors prior approval, may be used to fill in low areas on the lot. Excavated <br />O <br />material shall not be mounded so as to create drainage or erosion problems on adjoining properties. <br />a <br />7. <br />Sheet flow driveway runoff to a rock filled trench along one or both sides of the driveway. <br />J�_� $ oo <br />p tlfor Construction Date <br />"44d"vz z-a-o <br />FINAL INSPECTION <br />Approved as Constructed Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of thn improvement or <br />other right-of-way use hereto plied for and further agrees to <br />remove same upon notice fro the City and to replace pi <br />P damaged thereby. <br />� _ <br />J Signal re of Appl cant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />