1402 SE EVERETT MALL WAY HONG KONG KITCHEN 2018-01-02 MF Import

Application For pUBL,IC WORKS PERMIT Print or Type Only —f� Owner I Describe Proposed Work aJ',W-/4-x-{^ I Public Work a Parmli Bldg Dept. Public Works Fee $ Total Fee Less Appl Fee Paid $ Balance Due $ Project Address (if known) - - • -- Attach four (4) copies of plans for proposed work - Draw to scale and note Centewing as of applicable: • Property Lines •Indicate North • Outline and dimensions of all existing and • Show any proposed grading changes proposed structures on the lot • Show measurements • Existing and proposed utilities Phone PERMIT CONDITIONS I. All calls fc: Inspection shall 1•e rcade 24 hrs. in advance- phone 259.8810. 2. All work sliwl be performed in accordance with this permit and current City of Everett Design and Construction Standards sod Specificatluns. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424-555 . T- ,,l/o7- Approved for Construction Date FINAL INSPECTION Dale Approved as Ccnstructed i PUBLIC WORKS DEPARTMENT Ever Cedar Street Everett, WA 98201 Phone: 259-8810 W H N En Q z \I/ ch 0 00 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harm. less 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 front the City and to replace public property damaged thereby. Date Signature of Applicant AUTHORIZEDWORK PERMIT • 11 B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER ISHIN TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.