1111 13TH ST 2018-01-02 MF Import

TYPE OR PRINT ONLY AMERICA Owner TA Application For t� 2 3 9 8 PUBLIC, WORKS :PERMIT Date PUBLIC WORKS DEPARTMENT Public=('fa/orks Permit # f 3200 Cedar Street 4L Everett, WA 98201 259-8810 BuildirPermit # 57813 � mew Pubic Wo:lO Fee $ / BOILER WORKS 1332 W MARTJE'-` VIEW bg Fa9R LIRE Tf`, Y�,'201 Mailing Address 1-4, City '-j Zip' ',:- Phone Lx� JEFF SOUTH 259-0834 °=; 2 as � � '-' L"*r- Applicant Mailing Address #; ; $ity- Phone Describe Pr000sed Work NEW MODULAR OFFICE BLDG PROJECT ADDRESS (if known) Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: •Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities •Centerline of street •Indicate North 'Show any proposed grading changes 'Show measurements DO NOT WRITE BELOW THIS LINE PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours 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. =1. Catch basins, per city standard plan 4402. Pipe materials per sec. 4-2. 3(l) of the cite design an construction standards. 5. Parking lot paving as per section 3-5.2 of the city design and construction standards. o. Side sewer per wtanthn"d plan #''s 601, 602 & 604. .7. Install temporary erosion control measures as directed by the public works inspector. & Keep city streets clean at all times. Dust suppression and street cleaning roust occur as directed by the public works inspector. 9: Frontage improvements to the 13th street ROW are to be provided by the Port of Everett at a late. date (as per letter from the Porn. ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or Approv for Co r n Dat causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. FINAL I ECTION Date Approved as Constructed /1,��'r" � � 6C✓ tER at of icant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180'DAYS OF DATE IT 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.