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� <br />�� <br />TYPE O�� PRINT ONLY <br />Owner <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />RODLAND TOYOTA <br />Describe Proposed Work <br />PUBLIC WORK� DEPARTMENT <br />3200 ('edar Slreet <br />Everett, WA 98207 (425) 257•8810 <br />6816 EVERGREEN WY EVERETT 98203 <br />Date _ 5/13/99 <br />Public Works PPrmit k // 125 <br />PL✓ 99a�-oo� <br />Building Permit # fi�b <br />Public Works Fee $ / Z � �%/ <br />Mailing Address City Zip Phone <br />ury <br />ug-io- 9� <br />PROJECTADDRESS (if known) ��as — EVERGREEN 1JAY _-__-. - . ':��:; � <br />�� -•>:,. <br />_. - . - �;',�7r:• <br />Atlach lour (4) copies plans lor proposed work - Draw to scale and note the lollowing il applicable: - � <br />• Propetly Lines • Outline and dimensions ol all existing and proposed strucWres on the lot • Existing and pmposed utllities r.,� <br />• Centedine ol street • Indicate Nonh • Show any pmposed grading changes • Show measuremenls �.�� �__ �: � � :���� <br />DO NOT WRITE BELOW THIS LINE '= 'a- ;-__ _ <br />PERMIT CONDITIONS: � " _ <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 � ,l� � <br />2. ,^.II work shall be pertoimed in accordance with ihis permit and current City of Everett Design and <br />Con;;;uc!;c� Standard; and Specifications.. <br />3. Call Location :,',-��eryround Service 48 hrs. before you dig. TQLL FREE NUMBER 1-800-424-5555. <br />Y <br />. �% l// L LtJD,P1l Z�O <br />,1 <br />8-9-%9 6y �/e <br />�' c��ne �r�,^ �n�«, <br />��.�� p�,6��� ��o,�,�. <br />`� � 9 <br />pprove or onsirucuon �%�I <br />� <br />FINAI INSPECTIUN <br />Appmvad as Constructed <br />Date <br />�P�/�OL�F_'� Od� <br />�perfroen7'� <br />Z <br />�' <br />1� <br />V ♦ <br />0 <br />a <br />ACKNOWLEDGEMENT OF COPJDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, cosls, exper.ses, or <br />causes ol action that may 2rise 6ecause of inslallation and maintenance of the <br />Improvemenl or other righPo4way use herero applied for eno lurther agrees to <br />remove same upo from the City and to replace pub�ic property dam• <br />thereby. <br />. � _io _y'� <br />ignature o ppicant ate <br />WORK AUTHORIZED BY iHS PERMfT MUST BE STAHTEp INfTHIN 1&1 D.4Y5 OF DATE PERI.IR IS ISSUED /�l�D 7HEqEAF1ER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEf10N.7HI5FcFMfTMAYBECANCELLEDBYTHECfTYUPONANYSTOppAGE OFWCRKONiHIa'pRQ1ECTOVER90DAYSDURATION. <br />