Laserfiche WebLink
r <br /> evecen APPUCATIOFV FOR PUBLIC WORKS PERMIT <br /> � tYOe O�Print tleBrly wil�ink . <br /> PRCSS HARD -YOU ARE MAKING COPIES � <br /> PERMIT NO. _}'� _ ��' � <br /> PUBLIC WORI<5 � � <br /> E'JERETi,WASHINGTON / � BLDG. D�PT. NO. <br /> ,f�f OWNER f_'. AGENT DATE �'%� j'/��.�� � <br /> /� i � <br /> APPLICAN1iF IRM REPRESENTED //`'{.}"��ir! I ��,� ,.'�'S'1 ` %` � 1����� � ��1�I_�_,�1� <br /> ADDRESS I?��T� ��j'`'� I,��� .'��F__ __CITY ��LYSY_�/�T7ELEPhIONE _L' t ��-�s�j; <br /> - - - - / <br /> HEFEBY A'PLIE-S �OR PERMISSION f0 �"!S �� C�_ -t'A1S.!__� �. 1�_ . F_li,SG�/Li; J.��' <br /> / <br /> /�u��r:�_ _,� —�J �_e� � . � � <br /> - _ -- — --- -- <br /> ATTHEFOLIOYVINGLOCATION �-{-i �3� ([�_�;��, f?_CJc��_�/1•_L�L�:"J�______—_ <br /> Attach live(5)copies of preliminary plans for proposed work.Draw to scale and show the�o�lowing as applicable: <br /> ' Property lines and street identity. • Topogrnphic changes reGuiring cuts and fills <br /> ' Outline and dimension� oi existing and other than normul foun 1Ation, <br /> proposed structuras. ' On•eite drainaae systems when required. <br /> • Existing and proposed utilities. � Erosion contrul methods when required. <br /> ' CentErline oi abutting right ot way ' Nortn drow _ �7 <br /> �I/z� S Fu'F/� /'��� �LMCS ,eF�O� � �/// <br /> , r � � ^�J� /._ _,�1��-�'-c_ /�! P.sa � <br /> �•I� ��%/�N• (�'}'/�7f„ Sipnetu�eolAOPlitaM �— <br /> ti��., ,,,�F�C;S PUBLIC WORKS P�RMIT <br /> COTNUITIC�1�": �•,��/.'_ �1�CC'�S <br /> -t 1 . � � .y. � . .�- . 1 - f- .� ._1 - t �. � ..� t -� . ..t_�_ �-. . « � <br /> . a +, 1 a _. ✓/ft', !�' -�� �� ,`� "`�i_ r T,;u�� ct•:iy; f ;,i✓ ,.lr �.._, . ._"_ rt J <br /> � �1 . " '` ' ±� �`�'- u <br /> 1 1 - {-�-� . � . f : : + . � . + ,� �. 1 . '��� - - <br /> ��i S< < 4'�. � � <br /> 1- � i ��'' -i . {�f. _ !t_ { .� _ a { � . <br /> _� :I'1 L �' +-� <br /> I � f / <br /> 1 } i ? tI .�1 '' i . C.' i7�cLI � .� 2'� f�i �l �(��l�f,�/' C«4 9`.- y , -.{ <br /> .� l i : 1 � r : •� ' •`' • � J' Ss/1 .t •CI U�%�« �[ �%.�.1{ _j_v� •_ --�. . <br /> �} 1 .i-.:-'�r� 1 s r � f r } : . 1 �� , � � �~�~ <br /> -' 4 1 1 r/'/,�,�. � � ���._�,_,�U�� . � ' . �. � . �/t ci (� ��jlYi% N� , _.—i <br /> �_'� . j%J7.c( " 1 4 '� i�'7/7 �J t;' '' �Z? . . 'f �'.C. . � � <br /> I � T1 � : : !C� ��.� ';',y�Jt)it�C:�i�I .�d, i,n� ��I %t..`i�f :�t�- 4�. � <br /> -.1�.�.. '� � �� �� . W. ��J . ,�: /MfJji. /��'. —� _ 'n� v _� <br /> . � . � r . � � � � . �G.J . . � �� ' . <br /> ` , �C� '. /'1J1 S� �/ •_G.1,' �r�.l'S� <br /> +�+ 1-- , . `�. .!h� ''sic°i ` i . ..� . _ . <br /> . •� ♦ .�» { . � t � : t y� �t , � . j . . . lhe untleBignec owne� �ereby eqroea lo �old entl eave ha�mleas <br /> - + + r- � . ��ti��� i �(� ([ ' � �"!J! � thA C�ly ot Evamtt �mn eny ena en ciaime tor tlamepea coste. <br /> ' • � ` ''•- �1 • � • 1- � 1 1- � 1 j�' (�' e�pen9es,of CeueBS 01 nchon I�BI mey nri3e MCeuse ol Inm�hatlOn <br /> -'-+'-t }-"—!- ! ` � �'-'- ' � » 'w"."^� '1- entl mainlenence ol I�e improveman� or other tlphl�ol�wey uee <br /> -� � + � � �}" � '�' ' j' -1 �!_�- ' ' ' ' + • hereto np0��ed lor entl lurl�ar nBreee to inmovx yeme upan no6ce <br /> _�� i t �� �_ � -'"' � � �• '�� : � : Irom t�e Cily end lo replace public p�opetly Aemeped t�eroby. <br /> I ���j��'.�.�__ `'� � I� > <br /> // / <br /> F VFb�f�R CONSTRUCTION D � � ACKNOWL E "I�T F.C,/OND/Iy(GNS <br /> APPA�VED AS CO���GTED •- - -I--DAT[ �� SIGNAT RF��NT �-_ � �p --- <br /> � <br /> P�RMIT IS VAL!U FOR 1 YEAR pOST ON CALL FOR INSPECTION <br /> J09SITE 259-8811 <br /> �:tFIR:1T:C �? — 24HRS. BEFORECONSTRUCTION <br /> L ' <br />� <br /> i' <br /> I <br />