1402 SE EVERETT MALL WAY SAM GOODY 2018-01-02 MF Import

E -1 (PE OR PRINT ONLY (y�lication For PUBLIC VvORKS PERMIT Date Applicant I Describe Proposed Work PROJECT ADDRESS (if known) PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett, WA 98201 259-8810 Plan Check No: Applicat.Da.te: Job Address: Owner: Tenant: Proposed Use: DeBC. of Work: T.I. OFFICE SET Public Works Permit A Building Permit # _ Public Works Fee $ _ B 53871 SEPA 01603/97 14 2 SE EVERETT MALL WY TITANIC ASSOC SAM GOODY RETAIL JOB SET APPROVED FOR PERMIT: DATE_/_/_ BY Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: Phone Phone 'Property Lines -Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities 'Centerline of street "Indicate North •Show any proposed grading changes •Shaw measurements PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. 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 his. before you dig. TOLL FREE NUMBER 1-800-424-5555. "UCLIC WORKS PErWlI 14OF REOUIRE1 3Y�.1 *i TE__73 77 Approved for Construction Date Approved as Constructed �rtt� ca O 02) ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless 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 further agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant "Date' 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 STCPPAGE 0r WORK ON 1HIS PROJECT OVER 90 DAYS DURATION.