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APPl,cat,on For /. <br /> PUBLIC WORKS PERMIT Date 6-25-98 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N <br /> 3200 Cedar Street <br /> Everett,WA 98201 2598810 <br /> c[G L 1t Building Permit A 592h97 <br /> TYPE OR PRINT ONLY T(1 POSTING I�Lu.-- Public Works Fee$ BVI <br /> Ralph Schuck 20717 36tH Ave NW Stanwood 98292 360-652-1309 <br /> Owner Mailing Address City Zip Phone <br /> Owner _ <br /> Applicant Mailing Addresr City Zip Phone <br /> (T7-1S-9B :27Ptf <br /> new house 7- Basic 1277 2 , - ■ <br /> Describe Proposed Work ___- - _ _ N 59x.97 W <br /> FUIMP 6A1-00 <br /> PL!IMP R� nG <br /> MECH 60.00 tt� <br /> qRrHr 4_90 <br /> 00 <br /> PROJECT ADDRESS(if known) Z ZtQ_ COISE St SE Lot 5 PS�Rhq;at 14,1 M� <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following If applicable: f1 99.800 W <br /> 'PropertyLines 'Oulline and dimensions of all existing and proposed structures on the lot 'Existing and ptroposed utI@PolOz O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measuremprCla_k, 70.00 7 <br /> DO NOT WRITE BELOW THIS LINE ]JILL111 ��o• <br /> PERMIT CONDITIONS: TOTAL 2845.38 <br /> 1. All calls for Inspection shall be made 24 hours in advance - pnone 259-8810. CHEZ- III <br /> 2. All work shall be performed In accordance with this permit and current City of Everett besign and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 firs. befors you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> t. Install an intillimlion trench built as per Section 3-2.6.2 and Figure and Table 3-2.2 of the city <br /> Storm water Mnnneement Manual (copy's stapled to this permit). the infiltration trench shall -O <br /> no closer than 5 feet to any up slope property line or foundation nor closer than 10 ft,of to any <br /> downslope property line or foundation. Call Public Works for err inspection prior to cv,ering an <br /> trenches. <br /> Example: This structure tlac approx. 11700 Sq. Ft. of imprervious roof area. 11terefor <br /> if a soil class of law tsand is asssumed and the infiltration trench is constucted <br /> JA deep m1d-t�wideard;wide, from table 3-2.2 the trench should be (& A Lar , <br /> It is the developers responsibility to identify the soil class in the field and if conditions in `,e field <br /> vary from those in the example - adjust accordingly using the above mentioned table as a guide. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby egrees to hold and save harmless <br /> G�/ the City of Everett from any and all claims for damages,costs,expenses,or <br /> Appro r Const�u tion ! p8}B causes of action that may arise because of installation and maintenance of <br /> the improvement or otter 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 /> damaged themby. <br /> 4MAL INSPECTION Dete� 7 /� // — <br /> Appnlved as Constructed (�/-r-5• dl/-(�(/ <br /> Signalure plicant Date <br /> RK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> LEMON.THIS PERMIT MAY 9E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />