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Apptcalron Fur / <br /> PUBLIC WORKS PERMIT Date -- -- —"�" <br /> PUBLIC WORKS DEPARTMENT Public Works Permit 4 __ ! <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 Bt ilding Permit If -. 57305 <br /> /. OCT 1 2 1998 ze <br /> TYPE OR PRINT ONLY POSTING --��- Pi bli.:Works Fee$ _ <br /> _ STEVE BARTLOW CONSTRUCTION 3711 122ND PL SE EVERETT 98208 425-337-9079 <br /> Owner Mailing Aodnss City ip Phone <br /> Appticant Malling Address City Zip Phone <br /> Describe Proposed Work _ NEW HOUSE W <br /> 0 57305 <br /> PROJECT ADDRESS (if known) 1112 57TH ST SE LOT��T 40-914.00T 40-94.00 <br /> Attach four(4)copies of plans for proposed work-Drew to scale and note the following If applicable: SRCHG 4.50 O <br /> •Property Lines 'Oulline and dimensions of all existing and proposed structures on the lot •Existmgl*Y f Mposed~ <br /> •Centerline L Areal 'indicate North •Show any proposed grading changes •Show measureRiaki CK 16.25 <br /> DO NOT WRITE BELOW THIS LINE TI-R 650.00 <br /> PERMIT CONDITIONS: It 31358 <br /> 1.All calls for Inspection shall be made 24 hours In advance- phone 259-881.0 70.00 O <br /> 2.All work shall be performed in accordance with this permit and current CiTpR�7p�vere3jR1�1�g-.SW and <br /> Construct3. Call Location Underground Service on Standards and 148tfirs. before you dig. TOLL FREE NUMBER 1&-424-�65,SjF „a <br /> A OH3730 <br /> 4. I1lstall an iuffllration trench built as per Section 3.2.6.2 and Figure mid Table 3-2.2 of the city O <br /> Stormwater Management Mmmal (copy's stapled to this permit). The infiltration trench shall be <br /> no closer than 5 feel to any up slope property line or foundation nor closer then 10 feet to tiny an <br /> downslope property line or foundation. Call Public Works for an itiRpection prior to covering <br /> trenches. <br /> Example: This structure has approx. Z 100 Sq. Ft. of impre.rvious roof area. 111erefore <br /> if a soil class of 10amr sand is asedumed and the infiltration trench is constucted <br /> �.t deet ward d� wtde, from table 3-2.2 the trench should be. I q Jt tai. <br /> If conditions in the field vary from those in the example- adjust accordingly <br /> using the above mentioned table as a guide. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownc-'e^!1licant hereby agrees to hold and save harmless <br /> `'y--{,•/_� the City of Everett from any ant;sll claims for damages,costs,expenses,or <br /> causes or action that may arise betzisse of Installation and maintenance of <br /> Appoved for Constru ion Date 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 properly <br /> damaged thereby. <br /> FINALII 12TIO111 <br /> ��Date <br /> Approved as Constructed Z-� 99 <br /> ignature of Applicant 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 TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />