305 SE EVERETT MALL WAY TEDDY BEAR FLORIST 2018-01-02 MF Import

Date_ /" Appli:ation For PUBLIC WORKS PERMIT Print or Type Only Mailing Address Describe Proposed Work Lip Public Works Permit x Bldg, Dept • — Public Works Fee Total Fee Less APPI Fee Peru $ Batancp Due i Project Address (if known) —Attach four (4) copies of plans for proposed work - Draw to scale and note the following as ap licable: • Property Lines • Centerline of street • Outhn_ mod dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 his. in advance - phone 259-881 O. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction .tandaras and Specifications. �. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1.800.424-5555. Approved for Construction uate FINAL INSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT 3200 Cc der Street Everett, WA 98201 Phone: 259.8810 ACKNOWLEDGEMENT OF CONDITIONS 191 r z O O a 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 from the City and to replace public property damaged thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGE14TLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.