8402 BROADWAY 2016-01-01 MF Import

/� � TYPE OR PRINT ONLY 1lppfic.can Por PUBLIC WORKS PERMIT Fueuc woaKs oea�wr*n�r azoo c.ev s� Everelt, WA 98201 25B-8B10 �aee 6/26/96 / Public Nbrks PermH R � Building PertnN N .i�2 /3 Z p�STING � 15 1998 � � Publk Worb Fes f RICHARD KENDALL 14424 GREENWOOD AVE N SFATTTE 98133 '�61-5'�a'� Owner Malling Address Cfty Zip Phone BEVERLY PARK SHELL Applicant Mailing Address ��b Z�P �0^B � Describe Proposed Work PROJECT ADDRESS (if known) NEW GAS STATION / CONVENIENCE STORE Z Atlech four �4) copies oi plans for proposeC work - Draw to scale end note the tollowing H epplieable: •Proparty Llnes 'Outline and dimenslons of all oaisling end proposed strutturea on the bt 'Ezisting and proposed utilRles •Centerline of street •Indicate North 5how eny proposed grading changea 5how measwements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phor�e 259-8810. 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 hre. before yau dig. TOLL FREE NUMBER 1-800-424-6666. �, %�..a�- �r..,.�� ,O ��s �,�cz� i /� ` 9.� / W � � v/ � O � ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and seve hartnless the City of Everett from any and all claims tor damages, cosis, expenses, or causes of action that may arise because ol installation and malntenence of the improvament or other dgM-o4wey u:�, hereto applied for and tuAher agrees to remove same upon notfce Irom tlie Clty and to replace public pmpetly damaged thereby. ,��C-.�-� -�� ` � / �a.c.e 9 17 �6 Signature ol Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED N9THIN 1B0 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 PR0.IECT OVER 90 DAYS WRATION.