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o <br />U <br />Applicaban For � <br />PUBLIC WORKS PERMIT Date <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 prt7.= <br />TYPE OR PRINT ONLY <br />Benchmark Guild Corp 691 <br />Owner Mailing Addres <br />Owner <br />Applicant Mailing <br />Describe Proposed Work ___ new <br />ry <br />10-21-97 <br />Public Works Permit 1 ( ✓ <br />Obi 11. 1 ` 199- Building Permit If 56848 <br />000 ->a r•o <br />[n us00 000 <br />fmrAM %Aeryin <br />=:X= <br />jublic Works Fee $ <br />Letle 98059 425-641-2737 <br />a Zip Phone <br />PROJECT ADDRESS (if known) 136 82nd P1 SW Lot 1 SP #39-96 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Pmpedy Unes '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 Everett 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 />4 Install an infiltration trench built Rs per Section 3-2.6.2 and Figure and Table 3-2.2 ofthe city <br />Stor water Management Manual (copy's stapled to this permit). The infiltration trench shall be no <br />closer than 5 feet to any up slope property line or foundation nor closer thtuu 10 feet to any downslo <br />property line or foundation. Call Public Works for an inspection prior to covering trenches. <br />Example: 'Ibis structure fins approx. 140D Sq. R. of imprelvious roof mra. Therefore <br />if soil cluss oflpanr sand is asssmued and the ildilfialiun trench is couslucted <br />311, deers and 3R, wlde, from table 3-2.2 the- trench should bc. 13 ft. Long. <br />If conditions in the field vav from those in the example - adjust accordingly <br />using the above mentioned table as a wide. <br />- LZW? 42�� <br />,NnpVoved for Qonstructlorf Date <br />FINAL INSPEC N Date <br />Approved as Constructed <br />W <br />I - <br />ca <br />0 <br />z <br />0 <br />CO) <br />0 <br />am <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 arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon noticeJLOm tho City and to replace public property <br />damaged thereby. _ , 1 <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 />