620 SE EVERETT MALL WAY PIZZA HUT 2016-01-01 MF Import

Date_�d v � Application For PUBLIC WORKS PERMIT Print or Type Only Mailing Adtlress �, � Puplic Works Permit a aiee. oea�. a �D ��e.5 i Public Works Fca ialal Fca $ _ _. Less AppL Fne Paia S Balanca Due $ Hppncam M8111f1(] AOOfQSS city Zip Phone Project Address (if known) Attach four (4) copies of plans lor proposed work • Drew to scaie and note the following as aGPi�cable: • Property Lines • Centedine of street � • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposed utilities � • Show measurements PERM�T CONDITIONS 3. All calls for inspection shall be made 24 hrs. in advance - phone 259-881 5. All work shall be performed in accordance with this permit and cu«ent City of Everett Design and Construction Standards and Specifications. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. i� fJ�u� /�E.e.,� iT /UaT .j/?�/A6 �c�'qrii/zE'� � �� Approved for'Construction Date FINAL iNSPECTION Date Approved as Constructed everett PUBLIC WORKS DEPARTMENT � 3200 Cedar Street Everett WA 98201 Phone: 259�8815 ACKNOWLEDGEMENT OF CONDITIONS W H a � � 0 The undersigned owner/applicant hereby agrees to hold and save harm� less the Ciry 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�ol-way use hereto applied for and furiher agrees to remove same upon notice Irom the Ciry and to replace public property damaped thereby. Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER �S TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI,�'i PROJECT OVER 90 DAYS DURATION.