Laserfiche WebLink
�'�` � �•:� �. ..� '. .. . _ ,- <br />'everen `��1[ajLl C. �'J�(Z� S <br />� APPLICATiON FGR Fi�IG�IT O}=l1QA-it=USE PERM�T <br />Typo or print clearly with ink <br />PRESS HARD - YOU ARE MP,KING COPIES � <br />PUBLIC WORKS <br />�VERETT, WASHINGTON PERMIT NO. ��� � � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � �� �\a 11 �� <br />HEREBY APPLIES FOR PERMISSION TO �% `� �'� F� � _L.� •• � `� Y"� �vU' yvct-- L(,/G.,.� <br />�K _r�un�q�c..i� v.+ si1-e. <br />AT THE FOLLOWING LOCATION `� � /� ��" <br />DRAWING (WORK TO BE DONE) OR THR PLANS ATTACHED: <br />`� � �� � � -�� o ----- <br />l� v �`-� a✓'� J N c� I I �-F- <br />�,, l (,_i!` �-: �� ... � l. <br />17✓e. �,y�{1u uo' <br />'_�_ <br />�.,���-���c r�5���' <br />C� � a`� -ii � f2 �� �� � �' e i� N 2 c� � J�� � � V�a i v. ct � P � �� S�Ac.r� G-- � I <br />� I <br />� <br />� p G (Y'Yv�i d.-., � � �� <br />1 ' � <br />�� /��P��.l� s�,��� �� ��� �a J��s� � ��=�i� �,, <br />l.l�C. j� t" iJ,�' `L '( � 5 �l 1� �.1� c� �' � X C�.�� G'� � r i V 2 c.c�c..�.� I', <br />� � <br />Q CC�`�5 (�J�ti��1 4�a�J �%e j��� ��c <�� U��l� {�✓�'�C �Vp�-'c.,l._� I, <br />� <br />I �I���1-L . ra��1/���c ro �T'� <br />C,✓ • �..� � <br />-�I s���.�y ��e,��s1GI��d �� �� <br />q I�G1Ji,�� `7' Y� jG-_ � W� Wl.��a�'"l �� 1��-� � <br />(-q P,� v� w�} �ja ek, �� � � � t o�.� � �t,P c,,,r I�-cJ�) <br />P�RMIT IS VALID �OR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CA�L FOR IIdSPECFIOw! 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />sLv�[H `�� CO�dhNWG�n.:,; -- —�'- " <br />DRAINAGE TRPFFIL <br />14nTER PLANNING <br />SiNEEI <br />I / I � <br />nWa -- - o Foa coNST cTioN o..e � <br />�� � � <br />/ i' / �- <br />�-� .`` ; , ��,/�<, <br />APPi70 ED S CONSTRUCTE6� 9 E� <br />C�)IJSTI?U�;llOi1/�1� 3U1'_l' <br />P�-ve�� ara�� <br />� �1 � <br />U �9 � � C. �i P d� � `�. � ('-7 <br />1 <br />DRIVEWAY SECTION <br />� � <br />� +I�� LIP �I <br />3� �30'� <br />The untlersigned ownen c�reby agrees to hold and save harmless <br />Ihe Giiy ol Everelt Imm any and all claims lor tlamages. cosL. <br />expenses. or [auses ol ac�ion Ihat mr�y �nso because ol mslalb�l�nr. <br />antl ma�.nlondncc ol Ibc nnprocenurnl ur olhnr nnM1l-ol-wnY usr <br />lirr.�lo aPVLri: loi :i ._. .iulhri a0�r��.� lo i� r .., i i uPon nnM1i.�. <br />imm I^�i� C II nnu �o r�A:cv PuLi.c moPo�Pi tlamn��rrl IncrrUy. <br />� <br />/i 7/ r �l ��] �/ <br />..,tit / GI (G(LY�./ --003' F—Cil/"f%%/.�w�C% <br />$IGNATl111L �F APPLtGANi <br />� �i�l�(Di�r�iV �if%� �/ <br />nooness- <br />EUE,2c—TT � �v/%SN <br />��rv z�� <br />'3s3-7/L�/ <br />tE�EPnONE NUIdEiE�� ' /L1ERNnLE <br />��- L - 7 j <br />DALE <br />1978 <br />