1131 BROADWAY 2016-01-01 MF Import

P�BLIG° WORKS PERMIT Date: 4/6I2012 Public Works Permit#: PW1204-004 City of Everett Public Works Department guildinp Permit#; 61204-014 �r,� �, I� 3200 Cedar Street ��'�=�'�?� Everett, WA 98201 Planning Reference#: (425)257-eB10 public Works Fee 5: 5 0.00 Other S: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: FOSKET DAVID V 10820 20TH ST SE LAK[ WA 98258 STEVENS PHONE: PHONE: TAX PARCEL ID# 00547?21901600 SITE ADDRESS: 1131 BROADWAY#A � DESCRIPTION OF PROPOSED WORK: DEMO CANOPY OVER ROW SUBJECT TO FIELD INSPECTION PERMIT CONDITIONS 1. A!I calis for inspection shall be made 24 hours in advance. 2. All•,vork shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifcations. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Provide caution tape barrier at drip line of canopy for pedestrian safety while demolition is underway. W E"� � � � � ` O i� �+�� 0 6 701'1 II_ �� z O . E-+ � O a ACKNOWLEDGEMENT OF CONDITIONS The undersigned ownedapplicanl hereby agrees lo hold and save harmless the City of Everetl from any and all daims for damages,cosls,expenses,or causes of action lhat may arise _ __._ ._ -- -_ ._ � because of installalion and mainlenance_of Ihe improvement _ _. ^ `G —�� 'Z or other right-o(-way use hereto applied for and fudher agrees to remove same upon notice from the City 2'id to replace Approved f Co st�� Date public property damaged thereby. / �� z- f,� FINA�SPE ION Date Approved as Constructed Signature ot Applicant Oale ViORK AUTHORiZED BY THIS PERP7IT MUST B[STARTEU WITNIN 180 DAVS OF DATE PERMif IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO COMPLEf10N. TNIS FER�iR h1AY 6E CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION.