1622 W MUKILTEO BLVD 2016-01-01 MF Import

npp�iwi�onFor Date 3/31/99 � � PUBLIC WORKS PERMIT /� /; PUBLIC WORKS DEPARTMENT Public Works Permit M `�� "1 � 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Building Pertnit q 62033 _ � TYPE OR PRINT ONLY TO POSTIAG '�_.-- Public Works Fee S_� SMITH DONNA 451 S 304TH FEDERAL WAY WA 98003 Owner Mailing Address Ciry Zip Phone CONTACT: WEST WALLACE 253-350-4173 Applicant Mailing Address Ciry Zip Phone Describe Proposed Work PROJECTADDRESS (if known) 1622 w Atlach four (4) copies plens for proposed work - Oraw to scale and note the lollowing if applicable: • Property Lines • Outlino and dimensions ol all existing and proposed structures on the lot • Existing and proposed utilities • Centedine ot street • Indicate North • Show any proposed grading changes • Show meesurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. AII calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 2. All work shall be peAormed in accordance with this permit and current City oi Everett Design and Construction Standards and Specifications. . 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. 4, I�t�ove e x � s� ng T'v'�vewu� on N(� k� I tco $lud� �-o��o� z r� �r�� w,tti .�� ,�;yht �� y�- � s��a�k. ��5 �,,, s-�d p� n � �. � CKNOWLEDGEMENT OF CONDITIONS The undersign o /epp�icant hereby agrees to Mld efM seve harmless the Ciry ol E rett from and all claims for dameges, costs, expanses, or causes of tion that mey a beca installation and malntenance ol the improve nt or gM-ol• y e he to applied for and further agrees to remov m pon noli Ci M to replace public properry dam- aged e / t7 Siqna ure o pfican �f �� W�RK AUTtpR�D BY 1HIS PERMIT MUST BE STAFi�ED WIiHIN 180 DAYS OF DATE PERMR IS ISSUED Ah'D TFIEiiFAF7ER �.S TO BE DILK'#MLV PURSUED'f� OOA�IF f10N. THIS PERMR MAY BE CAN((�]11.ED BY T}iE CRY UPON M1Y STCIPPAGE OF WOFiI( ON TFMS PH0.ECTOVER 90 DAYS IXJRATION.