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TYPE OR PAINT ONLY <br />Appl,caron For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT Public WorkiPennit 1 S <br />3200 Cedar Street OCT 1 2 1998 11J <br />Everett, WA 982ol nlISTIN G Buildinp PeAtt i _ 57090 <br />_6947 <br />Address <br />N <br />Date_ al/12/97 <br />is Fqq S_ <br />�. 1n <br />Describe Proposed Work NEW HOUSE - BASIC 1253 1 <br />PROJECT ADDRESS (if known) 110 82ND PL SW LOT 4 SHORT PLAT 39-96 _ <br />Attach four 14) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lines 'Oulline and dimensions of all existing and proposed stvctures on the lot •Existing and proposed utilities <br />'Centerline of street 'Indicate North 'Show any proposed grading changes -Show measurements <br />DO NOT WRITE BELOW THIS LINE <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 Everett Design and <br />O <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />V♦ <br />1 htatall an infiltration trench built as per Section 3-2.6.2 and Figure and Table 3-2.2 ofthe city <br />Stonowater Management Manual (copy's stapled to this permit). 'Ile infiltration trench shall be no <br />closerWan 5 feel to a y up slope property line or foundation nor closer than 10 feet to airy downslo <br />L <br />property line or foundation. Call Public Works for to inspection prior to covering trenches. <br />Example: 'llus structure has approx. Z3en Sq. R. of imprervious roof area Therefore <br />if a soil class oflewnty sand is assured raid t he itdiltrution trench is conslucted <br />317. deep mid 3A wide, from table 3-2.2 We trench should be Z ( A Lwur, <br />11'conditions in We field vary from those in the example - adjust accordingly <br />using We above mentioned table its a i aide. <br />7" ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold end save harmless <br />qj <br />1Y'Y/' (i4V�C,JnCJ 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 />Ap ved fo nst n Date tht Improvement m other right-of-way use hereto applied for and furtheragrees <br />v to remove same upon notice from the City and to replace public pmperty <br />---y0 damaged thereby. <br />AL INSP ON Date O <br />Approved as Constructed <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST 1E STARRED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION, THIS PERMIT MAY BE CANCE..-ED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER go DAYS DURATION. <br />