1402 SE EVERETT MALL WAY ORANGE JULIUS 2018-01-01 MF Import

Date� Application For PUBLIC VI�ORKS PERMIT Print or Type Only A/� (� S 7�� Owner � S k Yx.� — Ap�licant Ca �/ �+— ling .4ddres�� City Zip Puol¢ Warws Petmit a eiae oeu� . �� % % 0 i1-- Publ¢WorhsFca 5 Tolel Fee Less A00�� Fee PaiE $ Balance Oue 5 ��.��, i. 1 //, -.-�--�-._ �/!'- • � . -- -- -------- --- Proled Address (if known) Attach lour (4) copies ot plans for proposed work - Draw to scale and note the lollowinc� as applica6le: • Property Lines • Outline and dimensions oF all existing and pioposed structures bn ihe lot • Existing and proposed utilities • Centerline of sireet • Indicate Norih • Show any proposed grading changes • Show measuremenis PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. 2. All work shall be pedormed in accordance with this permit and current Ciry of Evarett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. �l%T� ,��'� C7 .�� �� Approved for Construction FINAL INSPECTION Approved as Constructed 2verett PUBLIC WORKS DEPARTMENT � 3200CedarStreet Everetl. WA 98201 Phone:259�6810 ACKNCWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and aave harm- less Ihe City of Everett Irom any and all claims tor damages, costs, expenses, or causes of action that may arise because of installation and mainlenance ol the improvement or other righFof-wzy use hereto applied for and turiher agrees �o iamuve same upon notice Irom Ihe City and to replace p�blic property damaged ihereby. Signature el Applicant Date WORK AUTHORIZED 6Y THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CI?V UPON ANY STOPP�GE OF WORK ON THIS PROJECT OVER 90 DAY3 DURATION.