Laserfiche WebLink
��`�� y \� <br /> � � <br /> 1 <br /> . . _ . ._ .. ___ __ . . _ . _ _" _ ._"_" — _ . _— <br /> � <br /> � APPLICATION FOR PUBLIC WORKS PERMIT ' ' <br /> TyDe or O��t clearly with Ink ' /' — <br /> PRESS HAftD-YOU ARE MAKING COPIES pERM1T NO. __L�ci�/.S C J— <br /> PUBLIC WORKS � <br /> EVERETT,WASHINGTON y� i BLDG. DEPT. NO. <br /> ❑ OWNER �AGENT DATE 'G � 3 � ;�3 / <br /> : APPLIC NT/FIRM REPRESENTED �I����—��� ` ,y���- ����lMV 1� � <br /> ADD�S �llO F�Iif�C—�II�E_jN�C��.�CITY��(�TELEPHONE��'7YrY"� <br /> HEREBY APPLIES FOR PERMISSION TO ������ ��SE� ���_ <br /> ATTHE FOLLOWING LOCATION�7 <br /> ,�'�j/O f=� �it/a,� �� <br /> Attach five(5)copies of preliminary{Slans for propose�work Draw to scal�d show the following as applicable: <br /> ' Property lines and street identity. 'Topographic changes requiring cvts and fills <br /> ' Outline and dimensions of existing and other than norm ound ' <br /> proposed structures. ' On-site draina e y e whe required. <br /> ' Existing and proposed utilities. • Erosio9,c 'when required. <br /> ! t Centerline of abutting right of soay. ` NortH'a � / <br /> i � <br /> I �: <br /> � Sign re cant <br /> � PUBLIC Vl/ORKS RMIT <br /> CONDITIONSi _ � , ._ _ ____ . . <br /> ` •-: ' . i--�...Pii- � ra vCd:�/G�-S . :cz�� :�P�: . -� -?�-�j-'• : : <br /> . : �� . <br /> ! : : f ' : : ; . : : : : : : : : : : . : : : : : : : : : <br /> __� __� _ . - - ; . _ : i - - . . _ i _ <br /> � : f . { � � � : i : ; . . <br /> � . ! : � . . � . . . : T� : . : . . <br /> _ � � _ , . . . . . -- -�_ . . - r 1 _ . 1 . <br /> . . i ��— � . . i . . . : { . . ' -1 i . <br /> • Jt �- • � ' . . " . I ; . : : . i ' ; . 4 . . , .. <br /> _,—_._T I�� ;—�____ _____t- . . i �.______�;- ----+-- . <br /> , i ' � .- . . . . . i . . . . : . . .� . . . i . , . <br /> , r . � i . . l . . l ' � • ; . : . . i . . . j � . . <br /> i . <br /> --' - - ; -f � � � ___. . _ . . . . . . . . . _ . . <br /> :_�._ <br /> : . 1 � . . � . . � <br /> � i <br /> —.� � _������ <br /> ' ; � '� Tha untlersiBnetl owner�ereby egrees lo hold antl eeve harmlass <br /> , , � I � , , � , , , , , , , I � . . , f . . . . . . 1he City ol Evereu tmm eny ana ell clalma lor demaqe0. coata <br /> . . . , . . . ' . . , . . . . . . . . � • • . � . eapenses,or causns ol action thxt may eriae becaune ol Inatallalion <br /> ____ _. _ .- .--. . . . . . . . ..�-__.. .. .... ... . . . . and malntenance oi the improvement or ol�er riqh4o4wey uae <br /> I� . • . . . . � • • . • . . � � . • � • � , � � � � � � he�eto eppliod for and lutlher aprees to mmova eame upon nolice <br /> � � ' - � ' ' ' ' ' � irom Ihe Clty end to place.D��blic property tlamapetl ihere6y. <br /> ._s-�'`� /. . . �. . . . : _ . . . . 1 <br /> I � � �i � �S'o�-J !C�U / � / <br /> �� � ' � <br /> APP` ED F�R-0ON51 RUC ION , DATE 5 ,�CKNO�ED�,, � CONDITIONS <br /> )+ � '3 <br /> i �,, � z � b' (��-! �\����-%'�Y%%/�� � ;����;� =� � Z'L � 3 � <br /> � APPROVED AS C N TRUCT ATE ��� r��7;�S;G ATJ T�1fiE 0 A PLIC N � '� DATE <br /> PERMIT IS VALID R 1 YEAR pipST ON CALL FOR INSPECTION <br /> 259•8811 <br /> _XPIRATION JOBSITE 44HRS. BEFORECONST�iUCTION <br /> ' .. 1 <br />