1823 MAPLE ST 2016-01-01 MF Import

Application For � �� PUBLIC WORKS PERMIT �a�e 3/5/96 PIBLIC WORKS DEPARTMENT Pubiic Works Permit N / to C�O 3200 Cedar Street � Everett,WA 98201 259-BB10 Building Permit p 5}�� 'S/J3Ui TYPE OR PRINT ONLY a �'�STI NG `�N 2 7 1996ic Works Fee S 20�-- TIM S SHANA CARMODY 1833 MAPLE ST 98201 303-8667 Owner MailingAddress City Zip Phone OWNER Appiicant Mailing Address City Zip Phone Describe Proposed Work NEW DETACHED GARAGE � � � PROJECT ADDRESS(if known) 1823 MAPLE ST � Attach tour(4)copies of plans for proposed worl:-Draw to scaie and note the tollowing if applicable: � •Property Lines `Outline and dimensions ol all existing and proposed structures on the lot 'Existing and proposed utilities O •Centerline of street •Indicate NoAh •Show any proposed grading changes •Show measurements � DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: � 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � V♦ O c_;:�iaiJc� ��-.7�;v _�,�.,�,�.,� a ; �coa�oss �LDG aF4.0� Sn^CHRG '�4.;�" ;;IV;J" 4^0.JF �acu ¢1.OF.,-.^ T ACKNOWLEDGEMENT OF CONDIIIONS The undersigned ownedapplicant hereby agrees to hold and save harmless -� /Z 9Gi �he Ciry ot Everett trom any and all claims tor damages,costs.expenses,or Approved for Cy n ctio D te causes of action that may arise because of insta;lation and maiMenance of - the improvement or other right-ot-way use hereto applied for and further agrzes to remove same upon notice trom the City and to replace public property .� S . �.f'` tlamaged thereby. FINAL I P TIQ � Date � Aoproved as Consiructed _ n 7 Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENRY PURSUED TO COMPLETIOY.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.