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Ap'�cationFor I� �pIl STING as� O 81991 3/20/96 � <br /> � � PUBLIC WORKS PEFi�A1T <br /> PUBLIC W�KS DEPARTMENT Public Works Permit 8 _ Z2.? <br /> 32 edar Street <br /> Everett,WA�201 259-8810 Building Permit 8 <br /> T <br /> TYPE OR PRINT ONLY � 8 � $ � � � � Public Works Fee$ 3�Z7 — <br /> .c � �,'i � m .+ o <br /> N �N <br /> � JOE PIGNATARO 10500 EVEIfGREF,�T.'�IY '�" � :�/��T 98204 348-3141 <br /> Owner Malling Addresg�. � � � r� � � �� � Zip Phone <br /> GALIN DREIS 745-9117 � � � � � � � � <br /> Applicant Mailing Addre City Zip Pnone <br /> Describe Proposed Work_ CONSTRUCT NEW AUTO SERVICE AND DEALERSHIP � <br /> --- � <br /> � <br /> _ v/ <br /> PROJECT ADDRESS(if known) 10513 EVERGREEN WY <br /> Attach four(4)copies of plans for pmposed work-D�aw to scaie and note the following if applicab�e: � <br /> •PropeAy Lines 'Outline and dimensions of all existing and propased structures on the lot •6cisting and proposed utilities O <br /> ' 'Centerline of sheet •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDI i IONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and <br /> Construction StandarcJs and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> � , �..� r���-�.,..� ��o,��.- da�/ � -�3 -� � � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owneNapplicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all daims for damages,costs,expenses,or <br /> Ap� ed Co✓rucf�o Date causes of action that may arise because of installation and maintenance ot <br /> � the improvement or other right-of-way use hereto applied for and further agrees <br /> � to remove same upon notice trom the City and to replace public property <br /> damaged thereby. <br /> NAL SPECTION Date � <br /> Approved as Constructed � <br /> / �(� <br /> Sign Appl a at � <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE IT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPA OF WORK ON THIS PROJECT UVER 9C DAYS DURATION. <br />