406 SE EVERETT MALL WAY THAT MUFFLER AND BRAKE SHOP 2018-01-01 MF Import

� Date�r�� Application For ?UE�LiC 'WORKS PERMIT Print or Type Only �. Pu01ic Worke �ermii e eiee�oeo�.• �967� Publk Worvs Fm � Taal Feo Less ApPI. Feo Pald � Balance Duo $ Mailing Ciry ■ ii . .. � / .i � � I /� � i . . i — ---�i� Frolec� Address �if known) Attach tour (4) copies ot plans for proposr.d work - Draw to scale and note the Wllowing • Property Lines • Ou�line and dimensions of all exisling and proposed sfrucW res on the lot • Existing and propo�ed utilities • Centerline of street • Indicate North • Show any proposed grading changes • Show measuremenis PERMITCONDITIONS 1. �II calls for inspection shall be made 24 hrs. in advance- phone 259-8810. 2. All work shali be pedormed'� accordance with this permit and current City of Everett Design and Construction Standards and Specificatio� 3. Call Location Unaerground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. �U�� /C �O.L'.C-S T�.��71/%' �Ci�/P��.��c�.�.�.� Approved for Construction Date FINAL I�SPECTION Approved as Construcled evere[t PUBLIC WORKS DEPARTMENT � 3200 Cedar Sheet Everett, WA 98201 Phone: 259�8810 'i7: - :{; ' ';.., . . . .4i� r(�.' r i'3.`: . ,.:If:.�.J. ! _ .+.1'it,'. � 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, e��pe.�ses, or causes of action that may arise because of installation antl :naintenance of the improvement or other right�ol-way use hereto applied for and further agrees to remove same upon notice Irom 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 THEREAFI'ER IS TG BE DIi.IGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV 8E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.