1402 SE EVERETT MALL WAY SCOTTIES ICE CREAM 2016-01-01 MF Import

� Date..�`8g Application For PUBLIC VlOORFCS PERMIT Print or Type Only �7 Owner Appiic�M Describe Proposed Wurk _y�bhLLt4� l ' � • Project Address (if knownj ( : u�lit Workg Parmil • I61tlB.0ep1.+ � Zip Pulil�cWorksFee $ Total Fee Less Appt Fee PaiE $ Balanco Due $ Ailach four (4) copies of plans for proposed worl<• Draw to scale and note ihe following�as'applicable: • Property Lines • Centerline of slreet • Outline and dimensions ot all existing and • Indicate North . proposed structures on the lot • Show any proposed grading changes • Existing anJ proposed utilities e Show measurements PERMIT CONDITIONS 1. All calls for inspectio.i sha�� he made 24 hrs. in advance - phone 259•8810. 2. All work shall be pertormed In accordance with ihis permit and current City of Everett Design and Construction Standards and Specifications. 3. Cell I.ocation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•S00•424•5555. �1D� ,��v1�r�� Approved for Construction Date FINAL INSPECTION App�oved as Constructed evero[[ PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett WA 98207 �� Phone:259�8870 Date s=��-es �� ACK�OWLEDGEMENT OF CONDITIONS � � � � 0 � � � a The undersigned owner/apPlicant hereby agrees to hold and save harm• less the City ol Everetl Irom any and all claims tor damages, costs, expenses, or causes of action thal may arise because of installation and maintenance of the improvement or other right-ol-way use hereto applied for ard further agrees to remove same upon notice irom the City and lo replace public property damaged thereby. Signawre ol Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIM 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �:1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK Oh� THIS PROJECT OVER 90 DAYS DURATIGN.