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^olm: R I 11 <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259.8810 toa9 <br />TYPE OR PRINT ONLY TO POS i i N G MAR 2 <br />Date 11/20/97 <br />Public Works Permit N 37 <br />Building Permit N <br />Public Works Fee E <br />BUD 6 DEBRA BEUSCHLEIN 15321 BROADWAY AVE SNOHOMISH 98296 425-486-1946 <br />Owner Mailing Address City Zip Phone <br />CONTACT: DEBRA <br />Applicant Mailing Address City Zip phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />LOT 2 SHOBf <br />u:iUE 20.00 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: FLAN Ci' 4.06 <br />•Properly lines 'Outline and dimensions of all existing and proposed structures on the lot •Existingifind proposed U112094 <br />'Centerline of street 'Indicate North 'Show any proposed grading changes •Show measuregleM-1 70.00 <br />57195 <br />PERMIT CONDITIONS: 101A� 3497.56 <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. CHEF: <br />2. All work shall be performed in accordance with this permit and current City of Evet%tf - h and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hire. before you dig. TOLL FREE NUMBER 1-800-424-6655. <br />Inslall tin inftltr•nfion trench built a_a per Section 3-2.6 2 and Figure and Table 3-2.2 of the city <br />sunnn+Ttlel. Mannaement MannAl (copy's stapled to this permit). 'Me infiltration trench shall <br />uo closel tiuut 5 feet to troy up slope property line or foundation nor closer than 10 feet to wry <br />dotvrlsIol1P properly line or foun(Intion. CidI Public Works for an inspection prior to covering <br />h•euches. <br />Exnmple This structure hits approx. (OW Sq. Ft. ot'imprervioug roof aren. Therefore <br />if a soil chiss of/oiunr send is esRsimied find the infiltration trench is <br />.olistucted M.deey and dQ. wide, front ruble 3-2.2 the trench should be J(p A <br />L ong. <br />If conditions in the field vm , from those in the oxtunple - alijusl accordingly <br />using the shove mentioned table as a Guide. <br />Approved as Constructed <br />0) <br />Ca <br />0 <br />z <br />0 <br />V♦ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and save harmless <br />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 or <br />the improvement or other right-of-way use hereto applied for and further agrees <br />tore ve same upon notice from the City and to replace public property <br />dam thereby. <br />SlgOdlure 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 00 DAYS DURATK)N. <br />