2918 TERMINAL AVE 2018-01-02 MF Import

Date 6/4/91 Application For PUBLIC WORKS PERMIT Print or Type Only Port of Everett PO Box 538 Everett, WA 98206 Owner Mailing Address City Zip Public Works Permil . _ Bldg Dept.. 91 27098 Public Works Fee S Total Fee less Appt Fee Paid S Balance Due S 259-3164 Owner Applicant Mailing Address City Zip Phone Describe Proposed Work - Relocate transport pipes from Pier 3 to existing alumina storage dome Project Address (if known) 2918 Terminal Ave. Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: • Property Lines • Centerline 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 PERMIT CONDITIONS 1. All calls for Inspection shall be made 24 hrs. in advance - phone 259.8810. 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. Approved for Construction FINAL INSPECTION Approved as Constructed PUBLIC WORKS DEPARTMENT IML 3200 Cedar Street Everett, WA 98201 Phone: 259.8810 Date Date 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 and maintenance of the improvement or other right-of-way use hereto applied for and turner agrees to remove same upon notice from the City and to replace public property damaged thereby. Signature of Applicant Date WORK Aut-HORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.