612 MAULSBY LN 2018-01-02 MF Import

PUBLIC WORKS PERMIT PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 (425) 257-8e10 JUL 0 5 20W T, POSTING AND ADCRESS: Brenda Stonecipher 612 Maulsby Lane! EVERETT WA 98201 PHONE: ( 425) 258-9108 APPLICANT NA:..e AND ADDRESS: PHONE: Date Public Works Permit N Building Permit N Planning Reference N Public Works Fee $ Guarantee $ NVp ITAX PARCEL W.II I PROJECT ADDRESS: 612 Maulsby Lane DESCRIPTION OF Relocate Storm Drain and Curb PROPOSED WORK: PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257.8810 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 5/4/2000 PW0005-010 $ 25.00 4. Call city of Everett public works inspector Dennis Gabelman at 425-339-7403 after forms are set and prior to pouring concrete. h '1 C rem 5/4 oo Approved for Construction Dale FINAL INSPECTION Approved as Constructed Dale 01-04-00 5:33PM ti 005010 01HER 2 5. 00 l-OTAL 25.00 A OM7257 W ''11i'i— VM! W O n Z O CASH JITO O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmles-. the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installatlon and m enanee of the improvement or 999��gr right-ol-way�nf.' et nr lied for and further agrees to r v same upon .T` City and to replace public/r e dams ed tV/J of WORK AUTHORIZED BY THIS PERMIT MUST RE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THERE.•,FTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PP'JJECT Ov: R 90 DAYS DURATION.