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APN'cat,nn ra <br />90-08-97 <br />PUBLIC WORKS <br />PERMIT <br />Date—.- <br />PUBLIC WORKS DEPARTMENT <br />Public Works Fermi" 9760 <br />3203 Cedar Street <br />U) <br />Everett, WA 98201 259-8810 <br />6720 <br />pnSTING FEB f <br />0 � 199h <br />Building Permh • <br />TYPE OR PRINT ONLY <br />���� <br />Kvernmo <br />Const 16212 Bothell Way SE <br />Mill Crib c t l <br />�4�3a4� , M <br />Owner <br />Mailing Address <br />City <br />Zip Phone <br />y <br />~ <br />Owner <br />Applicant <br />Mailing Address <br />ci l� j -j iJJ <br />M <br />� L Phone <br />Describe Proposed Work <br />new house - <br />PROJECT ADDRESS (if known) 2231 75th St SE Lot 3 SP .t2-97 <br />Attach lour (4) copies of plans for proposed work Draw to scale and note the following it applicable: <br />eProperty Lines -Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />-Centerline of street •Indicate North -Show any proposed grading changes -Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Er erett Design 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 />W <br />I- <br />ca <br />0 <br />z <br />0 <br />Install mi udiltniCion Ireuch bi nIt as per Section 3.2.6.2 and Figive and Table 3-2.2 of the city <br />Stormwater Management Manual (copy's stapled to this penttit). the infiltration trench shall be no I 0 <br />closer dust 5 feet to wily lip slope properly line or foundation nor closer Umn 10 feel to any do nslo a <br />property line or fo ndation. L'all Public Works for an inspection prior to covering trenches <br />Example: This stntchve has l pprox. VCOSq. Ft. ofintprervioua roof area Therefore <br />ifa soil class oflown► sand is :usstuned and file infiltration trench is conshncled <br />JA deep ivid3/L wide, front table 3-2.2 die trench should be ZO A Late• <br />lfconditions in the field vary, from those in die example - adiust accordingly <br />using the above mentioned table as a guide. <br />dw.s,._� z4—F9 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant 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 arse because of installation and maintenance of <br />the improvement or other right-ol-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Sign4ye 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 />