Laserfiche WebLink
� <br /> � _ __ , l <br /> � `"�rc" APPLICATION FOR PUBLIC WORKS FE�iMIT ��, <br /> � TYPe Or Drinl clenrlY wlt�Ink p � j <br /> i PRESS HARD-VOU ARE RIAKING COPIES pERMIT NO. _r. ���_ I <br /> I PUBLI� WORKS I <br /> I <br /> i EVEpETf,WASHINGTON ?' / p BLDG. DEPT. N0.--_ I j <br /> li ❑ OWNER 6�AGENT DA7E �7�Q�a 1• <br /> � APPLICANT/FIRM REPRESENTED - _�fll/.ENS.d��'y--�/Q-!1'�_SCY��.��/V_�y'�_ =iSt�— <br /> I / <br /> i ADDRESS ._oti�-L�-��y�L _.__-- CITY`}�f/G,Q/A�JJ1�`� -TELEPHONE �j_"S� �, <br /> i HEREBY APPLIES FOR PERMISSION TO �a.£�P���—!�£'LI1J LG_y__�v�tia���.�-u1+.��y. <br /> ' _ �_7�,�Qu�d- -11r�rJ.,���.��-.�� ----- - � <br /> '', AT THE FOLLOWING LOCATION —_/���'Y. C(tSJ.��L_lll�-__ --- _ - -_.-------- --- i <br /> IAttach five(5)copies of preliminary plans for proposed work.Draw to scalc and show ihe lollowing as apalic�ble: <br /> �, • Property Iines end sireet identity. ' Topographic changes req:,fNng cuts and fills <br /> I ' Outline and dfinensions o( existing and other than normel ►oundation. � <br /> � proposed structures. ' On-site drninage systems when requir9d. ' <br /> ' Existing and proposed utilities. • Erosion conirol methOds when required. <br /> ! • Centerline of abutting right o( way. ' North arrow � <br /> � <br /> � <br /> �� _ �� � ���tl �`�'''�— <br /> , T�i0n lure ol AP711c�nt / <br /> PUBLIC WURKS PERMIT <br /> � CONDITIONS: <br /> '', ���/�� /�� Jr�fo/d�ell ��iawi��ys , zo�z<�yt6Piov�d /y/�z. ! <br /> � C������c �%����(i�r/ �Cn„sj�u� ��on /�//p, „�� 5l�PP�s�. I <br /> i _: : : . : <br /> � . . . . <br /> i . . . . . . . . <br /> � . . . . . . . . <br /> � _ _ . __ . . . . � <br /> , ; . . � � . . <br /> ' i : ' ; : . : . ; . <br /> 'I �_._ .. :. . . . . _ . . . . . . . . _. . _ . . . i <br /> � . ' : : ! ; . . <br /> F_. _..__. .... . �_ . . , ._ ._ . . . . . . . <br /> f . . . , . . . � . . , , . . <br /> � . <br /> I 1 � � � The un�ersignad owner noreby eB�eas lo no10 end eere�erm�nu �I <br /> Ine City ol Evarxlt irom any ena eu cuims lor Osm�pea cotle, I <br /> i expennes,oi ceueae ol action tb,al mey erlee becauee ol Inelellallon � <br /> enA melnlenence ol tha ImD�oven:nnt or othar rlflh�•ol�wey u�e � <br /> i . � here�u npP�ixd lor end lurl�er epreee lo remove ume �pon notica , <br /> i � Irum iAe fily entl lo replace pu611c pmparty dama9eC thereby. ' <br /> � � <br /> �/ � 1 <br /> I APP V FOfl NSTR N � ��/�fE � ACKNOWLEDGEMENT CONDITIONS I ' <br /> I , �r . .' � . �• � <br /> �i � i : —. ' . _ . . / �-� � (�.—. ;'�i..� . ,�� �� <br /> ��,1 , � \ �� . ,.. . , , ._s,'----� -.. Y <br /> li APPROVED AS CONSTRUCiT�O DA7E SI A � L A T D <br /> i PERMIT IS VALI� FOR 1 YEAR � CALL FOR I SPECTION � <br /> � POST ON 259•8811 y <br /> EXPIRATION--.�' ' `�" " - JOBSITE 24HRS. BEFORECONS'�RUCTION <br />