1402 SE EVERETT MALL WAY DIAMOND EXPRESSIONS 2018-01-02 MF Import

I_ ('1 L � Public Works Perm'1 s Date „ Bldg. Dept • — Application For PUBLIC WORKS PERMIT PubTotal tlFee Fee _ ToFee $ — ` Lees APDI. Fee Paid $ Balance Due $ ---- Print or Type Only Describe Proposed Work ��1.A1�" ' ` '"-j7 ) Prolec: Address (if known) L Attach four (4) copies of plans for proposed work - Draw to scale and note the Centerline as ap of street able: • Property lines • Indicate North • Outline and dimensions of all existing and • Show any proposed grading changes proposed structures the lot • Show measurements • Existing and proposedd utilities PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. 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 hrs. before you dig. TOLL FREE NUMBER 1.800.424.5555. 1`tp� rP�UiY�D c�� $ Is Approved for Construction Date FINAL INSPECTION Date Approved as Constructed i PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone: 259-C210 ACKNOWLEDGEMENT OF CONDITIONS UL i Ch M Q 0 an The undersigned owner/applicant hereby agrees to hold and -,ave harm- less the City of Everett from any and all claims for damages, costa 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 100 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 PROJECT OVER g0 DAYS DURATION.