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Apphlatlon For / <br /> PUBLIC WORKS PERMIT Date 5-2255-98 7_ <br /> PL'BL'C WORKS DEPARTMENT Public Works Permit It _ <br /> 3200 Cedar Street <br /> Everett,WA 98201 2ff g Building Permit 159,98 _ <br /> 1 9 M <br /> TYPE OR PRIN1 ONLY TO POSTING Public Works Fee S <br /> Ralph Schuck 20717 36th Ave NW Stanwood 98292 360-652-1309 <br /> Owner Mailing Address City Zip Phone <br /> _ Owner _ <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house - Basic 1277 07-15-98 2:30PM <br /> 1! 59290 <br /> BUILD 673.75 <br /> MECH 60.00 <br /> PPO. ECT ADDRESS(if known) 7410 (At St -SE Lot 7DR&burse`%W A <br /> Attach four(4)copies of plans for pmposed work-Draw to scale and note the following If applicable: ca <br /> WATER 650.00 - O <br /> 'Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing a hd proposed ut0da 3 <br /> •Centerline of street "IndicateNorth •Show any proposed grading changes •Show measurerfiiFlli�R 70.00 <br /> DO NOT WRITE BELOW THIS LINE TOTAL 2837.25 <br /> PERMIT CONDITIONS: tit-{EK Z <br /> 1. All calls for inspection shall be made 24 hours in advance -phone 259-8810. �, 0M7*( i O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Des. n 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 /> .t. Install an infiltration trench built as per Section 3-2.6.2 and Figure and Table 3-2.2 of the cil� V/ <br /> Stormwater Management Manuel (copy's stapled to this permit). 'Ile infiltration trench shall Ir O <br /> no closer than 5 feel to any up slope properly line or foundation nor closer than 10 feet to am <br /> w <br /> donslope property line or foundation. Call Public Works for an inspection prior to coveriite a <br /> trenches. <br /> Example: This structure has approx. I ICO Sq. R. of imprervioo• roof area. 'herefore <br /> if a soil class of loamy staid is assumed and the infiltration trench is conatucted <br /> 3A deep and.t,2 wide, from table 3-2.2 the trench should bo /i. 1 onR. <br /> It is the developers responsibility to identify the soil close in the field and if conditions in the field <br /> vary from those in the example- lidjust accordingly using the above mentioned table as a guide. <br /> `—"-I ACKNOWLEDGEMf NT OF CONDITIONS <br /> / The undersigned owner/applicant herahy agrees to hold and save harmless <br /> �/�pj,fJ/ •A� 1Q the City of Everett from any and all claims for damages,costs.expenses,or <br /> causes of action that may arise because of installation and maintenance of <br /> AidIPWAd�r Cppstructlon Date T the improvement or other right-of-way use hereto applied for and further agrees <br /> - G to remove same upon notice from the City and to replace public property <br /> tvc�- /� Z/y'ioi damaged thereby. <br /> FINAL INSPECTION Date - <br /> Approved as Constructed [� <br /> 'Signature of licant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS . EO AND THE,1EAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF W K CN THIS PROJECT OVER 90 DAYS DJRATION. <br />