2804 GRAND AVE EVERETT PUBLIC MARKET 2018-01-02 MF Import

Date y Application For PUBLIC WORKS PERMIT Print or Type Only Applicant Describe Work I c A41C71�1=T Address Public Worka Permit e � 1?146 Bldg DePte PuUbc Worka Fee Total Fee s Leaa APPI Fe! Paid S Balance Due f _ City Zip Phone City Zip Phone �4r All Project Address (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following as apolicable: ti • Property Line-- • Centerline of street • Outline and dimensions of all existing and • Indicate North proposed structures on the lot • Show any proposed grading changes • Existing and proposeo utilities • Show measurements a DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in advance - phone 259.8815. ' 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424-5555. (OP4ti IoIL Flee £ GA.uE Q a 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 c X`./� ✓ i/��jrL and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the Approved for C struction DaI City and to replace public property damaged thereby. AL INSPECTION \ Date Approved as Constructed d.K ton urevAppli6ant Date everntt PUBLIC WORKS DECARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO Everett, WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE Phone: 259-88 f 5 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.