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� APPLICATION FOR PUBLIC WORKS PE'tM1T <br /> TYpe or D�inl clearly wit�ink <br /> PRESS HARD -VOU ARE MAKING COPIES �+ �/�/ <br /> PERMIT NO. s� 7a' <br /> PUBLIC WORKS C <br /> EVERETT,WASHINGTON /� I_ ��y /���� BLDG. DEPT. NO. C� a�1 SZ�S� <br /> ❑ OWNER �0 AGENT DATE (,GU(/.�,��r <br /> 0 <br /> APPLICANT/FIRM REPFF.SENTED TRT �`�N�Z _pCVC L�`►-'f�EhJj�� _ _ _ __. _---_- <br /> ADDRESS �.Z.��'-_-LC��~__St__���—__._ ___ —_CITY �_�CLy1.LL'DC�_TELEPHONE �7'1'•3�� I <br /> HEREBY APPLIES FOR PERMISSION TO -�1)4�vJ—��r_L_�_c����__���ni__]L�"��'W���. <br /> �L`rn�1�_±7]_��OIC'1LL��t-'� - L�-i�-l�'�c'/'--f---- <br /> AT THE FOLLOWING LOCATION �JQ�f1�4�`�1—SQC{1C N_Iv�f (�asi�w��a:�1o,��d,� � <br /> �� �" w� „���ta � � m <br /> Attach five(5)copies of prelirnfnery p ans for proposed r . a t sca e and show the followfng as applfcabie: <br /> ' Property Iinea and street idendty. • Topographic changes requlring cuts and filla =i T <br /> • Outline end dimensions of exisNng and other then normal foundetion �, � <br /> proposed atructures. ' On-site drainage syatems when required. "'r=., <br /> ' Existing and proposed utflitles. ' Eroslon control methoda when required. �!� <br /> • Centerline of abuttlng right of way. • North arrow / , �{c <br /> +� � ,h-_,/� -!c ( ���f <br /> / /lC C�tur ip. �l l[l.�j �� —=i <br /> coNo�r�oNs: PUBLIC WO KS P�RMIT ;�_ <br /> �. --� <br /> _ <br /> �/N <br /> j�,�-�' ��a,-rs a.�,/°rd✓�r� �z,3/,,� L. �s� <br /> � <br /> ��.. <br /> � <br /> 3f3i P�� : c� �7y - ��zl <br /> �'� <br /> `�UC S oe `.�'J , �►'�C'�eF� ,JG " �'� <br /> '�"� S� v7� Sh��1rJKS , ^ i�.ScK�'� N�, �N �./ac►.�Y7SC��P��y � <br /> '�SND ���C. �«)��lC �x') r � <br /> �I I / {��c1Q GP 'nnC-, O r `R�(- t 1J;?'�h2 L /a77 J� _ <br /> , W�711�i{� tJC-�--� �C�.a � P; � . � <br /> � <br /> _ <br /> 0 <br /> � <br /> .. <br /> Tha •��Aer.innntl owner �ereby eQreee lo ho�A entl��ve hermiss� m <br /> I�e C�ty ol Evarott Irom any ena an cisime lor d�m�qsa w�t�. <br /> s�peneen,or ceuee�ol eclion Ihi�m�y�tlu Est�usa d InHdNtbn <br /> �nC melnlnnence ol Ine �mprovemsnt or olAsr rphl�ol�w�y uw <br /> herelo�DG��ed lor enE lurther eqres�to nmov•ure rpon notbs <br /> from the Ciry enC to replace pub'. property d�m�ped IlisrcDy. <br /> � A <br /> A R S C ION A1 • AC VYL D MENT OF CONDITIONS <br /> <�f,� �< +.e<: � 1�� � O�f1� /-/1-� : <br /> APPRO ED A ONSTRU T D OAT SI E OF APPLI ANT DATE <br /> PERMIT IS VALI OR 1 YEAR ppST ON CALL FOR INSPECTION <br /> � � JOBSITE 259•8811 <br /> EXPIRATION 24 HRS. BEFORECONSTRUCTION <br /> �.r1C <br />