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:� <br />� h � <br />��x <br />C H <br />Ra r [J� <br />H "�y <br />y zH <br />� H� <br />M <br />"�i7 H'�] <br />y H <br />� O� <br />H t7 <br />� C�,! O <br />[�] V n <br />>H� <br />t.' H y <br />� <br />H <br />CC'] C7 � <br />tjJ � Cri1 <br />H O Cy/� <br />0� �� <br />+rw ,� <br />� � <br />Date 9-3--91 � <br />Y <br />Applicatfon ror <br />PU�LIC WORKS PERMIT <br />Print or Type Only <br />PUEIic Warka Parmlt • <br />ema.oen�• 91/27848 <br />Pu0licWarkaFee 5 <br />Tola1 Foe <br />Less RDG� Fea PaiC S <br />6alance Duo $ <br />Auto Mall Assoc 620 West Davton #B6 Edmonds 98020 774-1511 <br />Owner Mailing Address City Zip Phone <br />Lyon's Cor.struction 8223 Wade Rd Arlington 98223 435-3785 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work �,'"'""` imnrovement <br />Pro�ect Address �if known) 406 SE Everett Mall <br />te #105 <br />Attach four (4) copies of plans for proposed work • Draw to scale and note lhe following as applicable: <br />o Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate Norlh <br />proposed structures on lhe lot . • Show any proposed grading changes <br />• Existing and proposed utilillas • Show measurements <br />PERMIT CONDITIJNS <br />1. All calls for inspection shall he made 24 hrs. in advance • phone 259-8810. <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Gall Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />/ �<-EGC (-C.0'�� �v.....-r 0'1 /�..CG/ u„='=�f/ <br />V �C � <br />��— /-�/ <br />Approved for Consiruction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />/A�S�� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everel4 WA 98201 <br />Phone: 259�8870 <br />LL <br />� <br />s <br />� <br />� <br />� <br />ACKNOWLEDGEMENT OF CONDITIOMS <br />The undersignea owner/applicant hereby agrees to hold and save harm� <br />less lhe City ol Everett trom any and all claims for damages, costs. <br />expenses, or causes ot acHon thal may arise because of installatior <br />and maintenan:.e of �he improvement or other righ�-of-way use herett <br />applied for and turlher agrees to remove same upon notice trom the <br />Cily and to replace public property damaged ihereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PER�d1T IS ISSUED AND THEREAFTER IS �TC <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI£ <br />PROJECT OVER 90 DAYS DURATION. <br />