630 MAULSBY LN 2018-01-02 MF Import

Date Application For PUBLIC WORKS PERMIT Print or Type Only lII& S A Describe F�r�o�pose�d Work jz 11c�v J 'Sm 1-1-1 J Mailing Mailing Address 6,20 Mau IS L/ t l 4Z City LIA Zip PuLlic Works Permit a g Bldg pent a Public Works Fee $ Total Fee Less APPL Fee Paid $ Q Jalance Due $ City tip !v021 W W Q.�-c �M�VG 0.L71 Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline of street • Outline and dimensions of all existing ana • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259-881 5. 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 1-600.424.5555. X C©.vreoc750`� o,e EETi•✓!s /!T Ti/E -7oB S <%� i'2•o e To ST/D ern/N AN/ �EInoL/TiO.� Approved dffor/for Constructions Date FI CTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT vCedar Street Everett, WA 98201 Phone: 259-8815 a3 08/04/86 4%32PM 000AN1282 ACKNOWLEDGEMENT OF CONDITIONS W H N m O n z O Y rP O an The undersigned owner/applicWb2Dby a*W506hold and save hr.rm- less the City of Everett from�Kmd all"for mages, costs, expenses. or causes of action that may arise bec se, of installation and maintenance of the improvement or other rig -of- By use hereto applied for and further agrees o, same Pon notice from the City and ty're0ace/,I�blic prop y dam d th eby. q d .ate WORK AUTHORIZED BY THISt BRWT tvI UST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUE 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.