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. � <br /> AppliCation Far /' <br /> ���� PUBLIC WORKS PERMIT Date 6-25-98 = <br /> , <br /> � <br /> PUBLIC WORKS DEPARTMENT Publi:Works Permi ' �� <br /> 3200 Cedar Sireet <br /> Everett,Wn 98201 259-8810 Building Permit M__S9 99 <br /> JAN 2 5 � �' <br /> TYP[OR PRINT ONLY y , n^� Public Works Fee$ <br /> �; , ;,�TING __..-- <br /> Selby—Johnson Const 1222 Springbrook Rd Lk Stevens 98258 337—i733 Curt Sohnson __ <br /> Owner �vi�i!ing Address City Zip Phone <br /> Owner _ <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new duples; � <br /> -_ _.. . , � <br /> - — ._, V♦ <br /> PROJECTADDRESS;ifknown) $332 lltii � W (e�B) 5 :� � "G� � <br /> Attach four(4)copies a plans for pmposed work-D�aw to scale and note the following if applicable. �` :���=. ��� O <br /> •Property Linea •Outline and dimensions of�A existing and proposed structures on ihe lot •E+cisting and proposed utiM1tles' <br /> •Centerline of street •Indicate NoAh •Show any proposed gradirg changes 'Show measorements _ :, �`�� � <br /> `,i,.�,�.�. <br /> DO NOT WRITE BELOW THIS LINE o7f,1": <br /> PERMIT CONDITIONS: _ , � <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-SSiO ' ' : ; O <br /> 2. All work shall be perlormed in accordance with this permit and current City oFEverett De`�gn and <br /> Construction Standerds and Specifications. - � � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBE.R 1-800-�24-5555. � <br /> ! l���l�d! �u� ii�tiltr^lio�i tr.,uch buiH as�p�rSection ?-2.6.2 �u�d Pigur� cmd'fabie 3-2' oFtL•:� cit�� M♦ <br /> Sioruiwa[ar 1l.magcmeni Dlanual (copy's stspled lo thi, permit). 'Che iniiliratio�� trauci shull � <br /> un cleser Ihtu� 5 feel to �my up slopr propetiy line or fotmdalion nor closer(htut lU lee,l lo <m}� <br /> �icxcu�lope propetiy line or foundtdion. i'nll Public ��Vorks ti�r.m ins��ection prior to coeerin�; a <br /> �r.�nchev. <br /> Ly�mpl^� 'i'hi� stnictur-r has approx. �"I� Sq• Ft. of impmn�ious roof ama. "1'herefbre <br /> i� ti �oil ul�ss oi�low�n� sand is f�sssumed twd the. infilii.�tion trcuch is cousiucted <br /> +li. deeA mtd 3jt. wide,from table 3-2.2 th� tre.nch sliould be f8 t. Lon�. <br /> t' ; �li:� d�����lo�+;r- res�oneibility to identify the soil class in the field and if conditions io the{ield <br /> / a,n} n�om tliu;r in die e.xnsnple - adjust acwrdiuSly using ihe aoove m�ntioned inble s�s a Guide. <br /> Gfi�'" �j NCUJ C�fi✓¢`vt.y a15 PGf 5� PI7.�n +� �U`7 . Fi�� i^ ✓n�sG� Po�£i0v� O� (xal..��� <br /> U <br /> b�v' wi! h�,'yht' Cvrb. ,�fu�+• � s/� �is ��G✓' S f�P la,,-r �3 o s�t F 3�C o <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> , ,�/�/�� The undersigned ownedapplicar.t hereby agrees to9 old and sav Phartnless <br /> ��/j the City of Everett trom any and all claims for dama es,costs,ex enses,or <br /> � �/�"�� causes of aclion that may arise because uf installation and maintenance ot <br /> Aporoved for C:onstmction Dat the improvement or other right-of-way use hereto applied for and further agrees <br /> � to remove same upon notice from the City and to replace public property <br /> � � � ���p ��� damagedthereby. <br /> (PT�JX�v <br /> FINAL INSPECTION Date <br /> Approved as Constructed _ � <br /> u 23 y <br /> Signaf re of Applic Date <br /> WORK AUTHORIZED�Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS Or DAT�PERMIT IS ISSUE ND THEFEAFTER IS TO BE DILIGENTLY PI:RSUED TO <br /> COMPLEfION.THIS PERMIT MAY RE CANCELLED BY THE CITY UPON ANY STOPPAGk 9F 1NORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />