605 MAULSBY LN 2018-01-02 MF Import

Date 7-21-95 Application For PUBLIC WORKS PERMIT! Print or Type Only Bruce Overstreet 605 Owner Owner Applicant Describe Proposed Work Project Address (if known) Lane Everett 201 252-8282 Public Works Permit . • �� Bldg Dept . 49024 Public Works Fee S Total Fee Less Apot Fee Paid S Balance Due 5 OUZ-32Z40��.93/ auing Address Cn J , I _� ,Zip rn Mailing Address City retaining wall Zip Phone Attach four (4) copies of plans lot proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading chancrs • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 firs. in advance - phone 259.881 O. 2. All work shall be performed 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. 110 id3?00'un do.tc 744 01 C tt)o-r It 5 ---- 1 Appr or Constru��o� Date 1 FINAL INSPECTION Date Approved as Constructed C�PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 Phone: 259-8810 f'in�=S ACKNOWLEDGEMENT OF CONDITIONS W M 0 z 0 V♦ 0 a The undersigned owner/applicant hereby agrees to hold and save harm- less the City of Everett from any and all claims for damages. costs. expenses. or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and furtheInces to remove same on notice from the C;tv3+><t4o replace roperty dart)qged lh .r v $ \, Date natur of Applican WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.