2920 TERMINAL AVE 2018-01-02 MF Import

Date -II-J2-g ] ApPlicalion For PUBLIC WORKS PERMIT Print or Tyoe Only Owner Applicant 2928 Terminal Ave Mailing rsuurass Public Works Permit Bldg Dept 91/35083 Publ¢ Works Fee - Tolal Fee Less Apo[ Fea Pald Balance Due S _ Everett 98201 259-3164 (Jack Olson) y In Phone Zip Phone Describe Proposed Work Renovate existing warehouse 6 add chill facilities Project Address (if known) 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 utilitier • Show measurements PERMIT CONDITIONS 1. All calls for Inspection shall be ,nade 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 hire. before you dig. TOLL FREE NUMBER 1.800-424.5555. Approved for Construction Date FINAL INSPECTION Daft, — Approved as Constructed PUBLIC WORKS DEPARTMENT 3200 Cedar Street Everett WA 98201 Phone: 259-8810 �O.1.20�.CJ ACKNOWLEDGEMENT OF CONDITIONS M O z O O a t he undersigned owner/applicant hereby agrees to hold and save harm. less the City of Everett from any and all claims for damages costs, expentes, ,r causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use rereto 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 STA"TED 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,