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� / <br /> � 6� <br /> Applicatbn For <br /> PUBLIC VIfORKS PERMIT �a li,''13-98 <br /> PUBIJG WORKS DEPARTMENT Publb Waks PertnR��u,; �/�I � <br /> 32'10 Cedar Street 11I <br /> Everett,WA 98201 259-8810 Bullding PartnR M ?A, 60823 <br /> t�u�. 2 o t�99 �7 � <br /> TYPEORPRINTONLY ����STIN� �.�—�-- � <br /> � r::� , .i, :c .., Pl�blkl�(I(Mk3 F94 S, !►�/ <br /> r�i 'i , i�- __� r- :� �. <br /> � n� . ... ��. <br /> North Crest Development PO Box 340 Edmo',nas"98020y 425-�74-�1$�1`° ' <br /> O�mer Malling Address CNy ZIP ' '�' Phone I <br /> a, <br /> Rick Kle� _ , �„ :"; �! <br /> � 'r ' ,. i �-. <br /> Applicant Mai!in�fddrass '' Cit� . _� ' �' Lp _�' ��' Phone <br /> � l. . : :`Y.\.. .:: U'i C <br /> Describe ProposedlNark new 1 . ;e <br /> W <br /> N <br /> � <br /> PROJECTADDRESS(if known) I t S'3l 23✓'d DrSE Lot 1 Ho e Addn � <br /> Attach four(4)copies of plans fo�proposed work-Draw to scale and note the following H epplicable: � <br /> •Property Lines 'Gutline and dimensions of all existing and proposed structures on the lot •Ex(sHng and proposed utilNies O <br /> 'Centerline of street •Indicate North •Show any proposed grading changes 'Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall bo performed in accordance with thi;permR and current City of Everett Design and <br /> Construction Standards and Spec�cations. <br /> 3. Call Location Underground Service 48 hrs. before you d�g. TOLL FREE NUMBER 1-800-424-6665. � <br /> 4. �nstall �ui infiltr�ition trench bu:lt as rer Section 3-2.6.2 and Figure and T�ble 3-2.2 ofthe cit � <br /> '�orn��naier Msu�a�am.�nflGfsnit� (copy's st 's pennit). "Ihe infiltration tre <br /> v c �er thui 5 feet to any up slope erfy line or founc � nor c(oser ee o any <br /> o nslo c properly n r foundation. Call Piiblic Works for an mspec ion prior to overing a <br /> t � nclies. <br /> Ex�unple: This stnicture has approx. � J ' . Pt. of'imp . ious roof area Therefore <br /> if a eoil c!ass of!ou»ev sared is asssumed and tlie infiitration trench is conetucted <br /> 11, deen and3fk. wi�te, from t�ble 3-2.21he trench should be ��., I.ur , <br /> It is lhe develope�s raaponsibility to id>ntify the soil cla�s in the £eld and if'conditions in the field <br /> v�ry 1Yom tliose Itl :hd axample - ndju�i accordingly using tlte above mentioned tabie as aguide. <br /> i�"��' S�� I <br /> ACKNOWLEDGEMENT OF CONDITIONS I <br /> l/Z %Q � �1Y�����.a�Y and aM clairro(orraes to hold and asve hart�ees <br /> the C of Everatt from dertiepse�casta�expensas,or <br /> nP � ro� a,5�ti�no �e �auses a ecno„u,a�mey m�se necau�e a w,su�na,a�w m.inea,ence a <br /> tha Impmverrbnt adAxripMof-way uee f�selo applletl brandfinLMrapsss <br /> to ierrave eeme upon notica han the CNy and ro reWecs PWM� P�PNb' <br /> t5. � �—�3— Ff �^�°'"�. <br /> FINAL INS T10N Date <br /> Approved as Constructed \ Yo � <br /> ) <br /> � �A� ���I � i <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STAHfED WfTHiN 1B0 DAYS OF DAiE PERMIT IS ISSUED AND 7}IERFJIFTER IS TO BE qllpBllLY PUHSU�TO � <br /> COMPLETION.THIS PEHMIT MAY BE CANCELLED BY THE CfTV UPON ANV STOPPM`,E OF WOW(pN'1}{IS ppp,lECT pyEp gp p�yg q�7�q�, I <br />