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r � <br /> everett APPLICATION FOR PUBLIC WORKS PERMIT <br /> � TvoP o,p��o�deany w�m ink <br /> PRE55 HARD -VOU ARE MAKING COPIES j� <br /> PERM�T NU. IJ'� . ��_z— <br /> PUBLIC WORKS <br /> El'ERETT,WASHINGTON BLDG. DEPT. NO.�u?�.�Lo2.?:� <br /> ❑ OWNER WJ�GENT DATE ��, ����/Z <br /> APPLICANT/FIRMREPFlESENTED //��� � • 'E��V�'"'` CGODDG �--[/�iSI, J ._ <br /> � <br /> ADDRESS _ J 0 '3� . /�y � AUt /J,�' ITYLK-57e��s TELEPHONE 33 y���Z <br /> HEREBY APPLIES FOR PERMISSION TO G�SG e � /_ST n tS � 'C�Ge ClI�� . . ,._—_— <br /> f-o ,C �JNw 6'A��6� _ _-- <br /> , 7yay �SCraAc A�e. � i <br /> AT THF FOLLON ING LOCATION ��v�G / --__ <br /> Attach five(5)copies of preliminary plans for proposed work. Draw to scale and show the following as applfcable: <br /> • Property lines and street identity. • Topographic changes requiring cuts and fills <br /> • Outline and �limensions of existing and other than normal foundation. <br /> proposed st�uctur�s. ' Un site drainage systems when requfred. <br /> • rosion �;ontrol methods w en required. <br /> ' Ceinterline ot arbut�t ne�n tht lof way. Norih arow <br /> 9 • <br /> 9 9 ����� S, - — -- ---- <br /> S��neture ol AOVI�Cenl <br /> coNo�rioNs PUBLIC WARKS PERMIT <br /> Thn undmvpnee ownei nereoy epreee lo hold enE eeve �urmlese <br /> Ihe C�ly of Ever511 Irom any ena 611 cleimn lor Gemape�, eosl�. <br /> eepenaea,or cauees ol ecllon Ihel mny eriee Oeeeuee ol ln�ldl�llan <br /> entl meintenence of t�e Improvamtn� or o�Aer rip�Pol�wry u�a <br /> �Breto epPlietl lor entl lurlhei Bpreee t0 IemaVB seine uyon nOtlCa <br /> � Irom Ihe Cily en0 lo re0lece puhlic prope0y Cemepetl Iheroby. <br /> ��� __ i <br /> � - ;>-�� ` .r. �!i /f" 6L <br /> - ' PPROVED FOR CON^uTRUCTIJN D � E ACKNOWIEDGEMENT OF ONDITIONS <br /> / � <br /> I <br /> ��'�._c'�c,, ��f.�: _ _ l z�• �3 S. i 1� z <br /> APP OVE�AS CONSTRIIC�ED � DATE � I NA UR OFAPPLICA � D�� <br /> PERMIT IS VALID FOR 1 YEAR pOST ON CALL FOR INSPECTION <br /> 259•8811 <br /> EXPIRATION � JOBSITE p4HRS. BEFORECONSTRUCTION <br /> L � <br />