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�- / <br /> � ��hwtion For t`� 2-2-98 <br /> PUBLIC WCIRKS PERMIT Date <br /> :.� ���3 9 � <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit k S <br /> 3200 Cedar Street � <br /> Evere[l.,l(VA��r�I{�Q'eeioOCT� Buildin�e�+na_�]Z84 . <br /> 3 �\V <br /> TYPE OR PRINT ONLY Pu�G Wo Fee 8�� <br /> r. �ri�� 0000u� o �no •� � �� <br /> z rn ��� o o in o �� ^ �•� v o t- ui <br /> �_ :- . � . . . y� .t <br /> Sill Retallick 9532 146th Pl SE'` SnoTio�'nisk'982�Fr� �6� �68 �505 .1u <br /> Owner Mailing Address City 'Zip� .i Phone <br /> m � <br /> a �. , <br /> Owncr ' �; .q ����� o-: .r_ - � <br /> �� <br /> A IicaM Mailin Address �� "' � �-� ' � �- � '�Zip Phone <br /> PP 9 ra = � ��i �Yc ¢ ��i .- <br /> c� a m i_ : in u .-: -< v cn .� r'" <br /> Desc�:he Proposed Work new house - Basic 1263 � <br /> — -- r <br /> �a. � <br /> PROJECT ADDRESS(if knownj _ a002� U � R�p6� Lot 1 SP 117-97_ � <br /> Atlach four(4)copies ol plans for proposed work-Diaw to scale and note the Ioilowing if applicable: O <br /> •PropeAy Lines •Outline and dimensons ol a�l ezisting and proposed structures on the lot •Existing and proposed utilities <br /> •Centedine of street •Indicale NoAh •Show any proposed grading changes •Show measurements � <br /> DO IJOT WRITE BELOVJ THIS LINE � <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 parformed 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 1-800-424-5555. � <br /> � �,�:r�ll aui intiltratica� n=iich hnih :r p�r '�:•ctinn ?-'_.i;. ' ;md I�icnr:� :md'Pabl� 3-3.3 oftlie c�'}' � <br /> ;in�in�v��rt�r �'inuaic�wai�i �lauual (copy's siapicd to Ihis pciwiil. l'I�e iufiltraliou tnuch �hail h O <br /> in ,:luser U�au 5 Cecl lo an�� up slop�� pro�eil}� linr or Ibundalion nor closer t!rm 10 l���t to auv � <br /> �i•„ .nslopi prope�i}� li�ie or fnwt:iatiou. �-'all Public �Vork� for fw itispection prior lo suvennc <br /> n nrhe:. <br /> � implc: 'llii� �•Inicmrc h.iG .�ppros I�� Sq. Ft. of impren�ious ronf�rcn 'll�omfnn� <br /> n ;i <uil cis�ss of lonrm� surirl is fis�sunied zmd thc intiltration Ireucli is conswctrd <br /> �, decp aiu!?f1. x•ide. fi'emi tuble i-2.? Ilic trrncli sht,uld be �3 i. /,e�� . <br /> �i ,: ih . ;!., .lo�,� r, ree�mnsibilit}� to idcnlit�• the soil cl�s� in tlie lield :md if�c�,nditions in ih� �i:�lcl <br /> � in II Otll IIIO�r 111 IIIC PHf110�)IP - fl(I�UtiI fICCOCtI�IICIV U9IIlG Ult flll0�'OIIld11U0i16(I Ialde as n guidc. <br /> n� - \����!:": f(�f�l'.` CIl!' r' "IIl'1�� ����'CP� ��P�l I11811IIRC010I11 }it'fICI1CP� :1. �IFIIt't� itl �••CIIOII �-'.'_ Ot I�IP Cl�l' <br /> �'"� � �. -i:�n +uui Com!rnction Sf;mdv'ds sutd S ecitica�iou; ti�r 1)r��lopmrui (,dt;�ch�d). <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 2 The undersigned owner/applicant h�reby agrees to hold and save hartnless <br /> / R the City of Everett from any and all claims for damages,costs,ezpenses,or <br /> � causes of action that may arise because of installation and maintenance of <br /> Ap mvedforC tructi � e theimprovementorothernght-obwayuseheietoappliedPorandfutlheragrees <br /> to remove same upon notice from the City and to replace public property <br /> � �� � �� r� damagedihereby. <br /> FINAL IIJSPE TION Date <br /> Approved as Constructed }� . <br /> Signatum ot Apph'ca�i� Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST DE STARTED�VIT}iIN 180 DAYS OF DATE PERAIIT IS ISSUEO AND THEREAFTER IS TO BE DILIGEN7LY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED�Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90�AYS DURATION. <br />