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-; <br /> `J . APPlication Fa� , <br /> PUBLIC WORKS PERMIT : ; oe�e lt/,,9/9A <br /> rys ., <br /> PUBLIC WORKS DEPARTMENT ., Public YVorks Permit M <br /> TO POSTING MAR.2 U 2�0�°Bren32w 98�;`s``�5s-�,o -`., <br /> Building Parmit M 608878 <br /> TYPE OR PRINT ONLY Public Works Fee$� _ <br /> - _ - :-;, � i5 c��i <br /> ��i� � ' - - .. <br /> NORTH CREST DEVELOPMENT�� " PO �BOX'�340, EDMONDS 98P10 425-774-3181 <br /> Owner Mailing Address Cky ���� - Zip Phone <br /> ,i •ii <br /> Applicant MailingAddress ! , r� '}� Clty �_� Zip Phone <br /> . �. . . . ._. .., _. >i . I -. <br /> Describe Proposed Work NEW HOUSE — BASIC 2074 _ � <br /> � <br /> �� <br /> � <br /> PROJECT ADDRESS(if known) 11413 23RD DR SE LOT 11 � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the tollowing it applicable: O <br /> •Property Lines 'Oulline and dimensions oi all existing and proposed structures on the lot •Euisting and proposed utilities <br /> 'Centerline ot streat •Indic�te North 5how any�woposed grading changes 'Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All�.vork shall be performed in accordance with this pertnit and current Ciry of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245556. H <br /> I 1ust�ll an infillr�diou trencl� huilt ��per Section 3-2.G.2 and ri,ure and Table 3-2.2 ofthe cih� � <br /> �ioronv�ii�r i�isvisigemeui ni;�iu�l (copy's sinplad to this penuit). llie iuiiltration trench sh�ll be O <br /> no closc�r than 5 l'e�•( (o �uiy up �lop� property !ine or ioundation nor doser it�an 10 feel lo Nq� � <br /> down�lope propeiiy liri�• or tbi+udation. C'all Public Works lor vi inspectiou prior to coverit�g <br /> t�euclie�, <br /> r� a�.���,L: I h i� s!raclurr� has approx I � Sq. Pt. of imprervious roof area. Therefor� <br /> it'a soil cisL�> ot lnen�ti'��rad is a.,ssumed �md tlie infiltration treuch is constucted <br /> ?li, deep und��,1. ivr.�le, from table 3-2.� the trench should be � !. Lon . <br /> ir i�• i��, �I;�• �!npers re�p;:��sib'+iih• lo idenlifp the �oil class in the field tind if conditions in the tie.ld <br /> ;uv t'runi �lin.�� iu tlr• :x.unpl� - adju5t acco�diq�,ly usin�; the abov� mentioned tnble as a Guid�. <br /> ��.i`'�S <br /> ACKNOWLEDGEMENT OF CONDf110NS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> G�/ � 11. �G��p the CKy ot Everett lrom any and all claims for damages,costs,expenses,a <br /> 0i tQ- � c pQ. " � •`� causes of ection that may arise because of installation and maintenance of <br /> Approv forConstruction Date theimprovertientwotherright-of-weyuseheretoappliedforarMlurtheragrees <br /> ��� / to remove same upon notke from the City and to replace public property <br /> ��•/CC K"' (� '—-�.3—/�� dameged thereby. <br /> FINAL INSPECTION Dafe 1�' <br /> ApprovedasConstructed ��! � ��'2..'q� <br /> �Cij�. u'i! � <br /> Signature ot App icant ate <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN 180 DAYS OF DATE PERMfT IS ISSUED AND iHEREAFrER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf70N.THIS PERMR MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF W4RK ON THIS PR0.IECT OVER 90 DAYS W RATION. <br />