1402 SE EVERETT MALL WAY SATURDAYS WORLD 2016-01-01 MF Import

�. Application For PUBLIC �iVORKS PERMIT Print ar Type Only Applicant DescriGe Proposed Work Addrecs Prolect Address (il known) i'-(� �� 6 6�6�� -�---�°^�-" Attach four (4) copies of plans for pro0osed work • Draw to scale and note the follo�ving as • Property Lines • Outline and dimensions of all existing and proposed structures on the lot � Existing and proposed utilities C Zip Public Wo�kS Per • eiev� oeo�� + Publie Wo�ks Feo $ Tolal Fee Less ApP�. Fee Peld � Balance p�e • Cenlerline of street • Indicate North • Show any proposed grading changes • Show measurements Phone PERMIT CONDITIONS 1, pll calls for inspection shall be made 24 hrs. in advance • phone 259•8810. 2. All work shell be pertormed in accordance with this permit ard current City ot Everr,tt Design and Construction Standerds and Specifications. 3. Cell Locatlon Underground Servica 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. for Construc�ion �1 . � • � �,}' 4 �� , � � ^� � ACKNOWLEDGEMENT OF CONDITIONS � � � t1� O a The undersigned owner/applicant hereby agrees to hold and save harm• — less Ihe Ciry of Everett trom any and all claims icr damages, costs, eapenses, or causes ol action thal may arise 6ecause of installation and maintenance ol the improvement or other right•ol-way use hereto applied for and further agree� to remove same upon notice Irom the Date City and to replace public property damaged thereby. FINAL INSPECTION Daie Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Ceder Street Everelt, WA 98201 Phone: 259-8810 Signature of Applicanl 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 h7AY BE CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT 04ER 90 DAYS DURATION.