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1\�lXilJJli���7�1�1 <br />Application For / <br />PUB�IC WORKS PERMIT Date 7-29-96 <br />PUBLIC WORKS DEPARTMENT Public Works Pertnit p � G/3 �o O <br />32D0 Cedar Street <br />Evereri, WA 98201 259-8810 guilding Permit p 52426 � <br />TO POSTING Au� ° 7'-99' ' <br />� <br />Public Works Fee $ �'Sro� <br />Les Schwab Tire Centere <br />646 N Madras Hwy Prineville OR 97754 541-447-4136 <br />Owner Mailing Address Ciry Zip "" "'• •"Phdn'§"' " """^""""' ". . <br />/ <br />Contact: Lance Hardy 541-447-9162 N0�52426 <br />Applieent MailingAddress City Zip p' c•� � <br />SRCFdtG 44.SD <br />Describe Proposed Work new retail building PlW CH i1528.99 <br />PROJECT ADDRESS (if known) <br />CSTEST 512059.00 <br />NpTER s130.00 <br />SE61ER A7U.00 <br />Attach four (4) coples ot plans for proposed work - Draw to scaie and note the following it applicable: �9636Q <br />•Property Lines 'Outline and dimensions oi all existing and proposed structures on the lot •Existing and p� utiliti�A.96. � <br />'Centerline of street •Indicate North •Show any proposed grading changes •Show measurements PW/REV f42.00 <br />CHECN 518859.39 <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�% ��v a,o�v.�-P ��� s �<r�� �-30 -�?� <br />/ <br />W <br />� <br />� <br />� <br />ACKNJWLEDGEMENT OF CONDITIONS <br />The undersigned owneNapplicant hereby agrees to hold antl save hartnless <br />the City of Everett from any and all clalms for damages, costs, expenses, or <br />causes ot action that may arise because of Installation and maintenance of <br />the improvement or other dghhof-way use hereto applied for and f udher agrees <br />to remove same upon notice from the City and to replace public p perry <br />damaged ihere� � � � <br />WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN 18� DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THI� PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />