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`"°"" APPLICATION FOR PUBLIC WORKS PERMIT <br />� TYPe or Print clearlY with ink <br />PRESS HARD - YOU ARE MAKING COPIES �t <br />PUBLIC WOtiKS PERMIT NO. o`� �7 2 3 <br />EVERETf, WASHING'iON BLDG. DEPT. NO.��� � IIOS <br />❑ OWNER � AGENT DATE _ �v -� � �2 _ <br />APPLICANT/FIRMFEPRESENTED _�'�waYG_�4ZWICC�_ ___ <br />ADDRESS _�8�2_�Q�"OQdWQ.v CITY ��ere�f TELEPHONE 35J� �S6'S��e <br />/ ` <br />HEREBY APPLIES'�OR PERMISSION TO _(-�1 I _ qA.r,�,�� <br />cJ <br />ATTHE FOLLOWING LOCATION ��_�_�rDu[�WU.1/ --��D� <br />7 <br />Attach tive (5) �;opies of preliminary plans for propose i work. Draw to scale and chnw the followinfl as applicable: <br />' Proaerty lines and street identity. <br />' Outline and dimensions of existing and <br />proposed structures. <br />• cxisting and proposed utilities. <br />� Centerline ot abutting right of way. <br />CONDITIONS: <br />/('—� 7 ,C c <br />A. ZL <br />}ia{t—; <br />i- r-�-t-, �-� � ---- � --;- � <br />1 <br />i NI / �-:'c: i CA� <br />v;i���ie5 <br />• Topograr,nic changes requiring cuts and fills <br />othe; than normal foundation. <br />' On-s;te drainage systems when required. <br />" Erosion control methods when required. <br />• North arrow <br />KS PERMIT <br />,1 � ijl_ /L f-.%/� <br />s� K'� i <br />._ . :� _ _ _a <br />rr�_� �,_.��,a� � 'i . �i <br />i���- l';`'� �f � � ' , 1 �� �. <br />� .i � <br />i i L i <br />��_ t .: J ��_� �� �.,�-i ,-�.{i ,!_T�, <br />, <br />_ ' r : ' <br />� ��� ;� ,, i � i � ,: <br />�. _.. , , ,_F i , � ' � - <br />� _ i _: <br />� _-lu..-j �. �� .�� _3__� � : __�� __.�� 1 �.�.�.—....._� i_ <br />1 1 � �_,� 1 � i � .._� _. ! + 1.... i . ., ' <br />..i.. � l . _ i � � � �.. � ,. { I _ 1 <br />� J . , _ i - <br />_+ ._ <br />� r- `���.1�� -� i ._.j.i.� �:.: �. ; <br />; �. ._ .� t._._ , , , _. . . <br />t� � �_, I � -� � � ��-- <br />� , � i.. � � 'y..! � � _ 1_ ' <br />� � <br />. <br />. ... _i__. : <br />t= X`i�%%�� L- <br />ON DATE 7 <br />��, / �Z �/`� 3 <br />PERMIT IS VALID FOR 1 YEAR <br />EXPIRATION <br />The undersigned owner hereby agrecs to nold antl save �armlens <br />�he Cily ol Everetl trom eny ena an claims lor aamepe4 costs, <br />expenses, or causes ol action ihat may ariee because oi inntellatlon <br />antl maintenance ol the Improvemeni or other ripht•oFwey uee <br />hereto applied lor end luriher aB�eea lo remove same upon no�ice <br />from Ihe Cily and to replace Du61ic property demapetl IM1eroby. <br />DGEMENT <br />POST ON I CALL F�R INSPECTION <br />JOBSITE 259-8811 <br />24 HRS. BEFORECONSTRUCTION <br />