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r <br />L <br />�-._ . .. ..__. _ .. ... .__.- - -- -...___. <br />everett pppLICATION FOR PUBLIC WQRKS PERMI'd' <br />� TYPe or Print cleadY wilh ink <br />PRESS HARD • YOU ARE MAKING COPIES g /J? / Z <br />PEFMIT NO. �J <br />PUBLIC WORKS / <br />EVERETT, WASHINGTON BLDG. DEPT. NO. <br />❑ OWNER �] AGENT DATE _7_lg-gz.-- <br />APPUCANT/FIRM REPRESEN7ED _ AL'S AUTO SUPPLY _ AGENT- FINLEY/ARCHITECTS AIA, PS <br />ADDRESS 6500 EVERGREEN WAY CITY EVERETT 7ELEPHONE 353-1234 <br />HEREBY APPLIES FOR PERMISSION TO USE EXISTING DRIVEWAYS ` S�u f�p� /7—(O� <br />ATTHE FOLLOWING LOCA710N 6500 EVER6REEN WAY EVERETT, WASHINGTON <br />Attach five (5) copies of preliininary plans for pro��osed work. Draw to scale and show the following as applicable: <br />* Property lines and street identity. <br />* Outline and dimensions of existing and <br />proposed structures. <br />` Existing and proposed utilities. <br />* Centerline of abutting right of way. <br />* Topographic changes requiring cuts and fills <br />other than normal foundation. <br />* On-si e drainage systems when required. <br />* Erqs�i�pntrol methc�ds whe�e�uired� <br />+ ��,.CI <br />PUBLIC WORKS PE <br />�,_.__.. t__:T <br />- +-�- --- = �-_. _ <br />-: � -';.+ .�- The undersic�ned owner herehy agrees lo hold end save harmless <br />�� - - - _ �-a- � Ihe City ol Everett trom any ann au claims br dameges, costs, <br />'�— expenses, or causes ol aclion Ihal may ariso because of Installatio� <br />� � � antl mnintonanco ol the improvemenl or olher righ4ol�way usa <br />:.-�� : �'� � �,. <br />� ' herelo applieA for and lurihor agrees lo removo same upon nolice <br />i "'� � - �1'-YT Imm Ihe Cily and lo replace public pmperty � lmagetl ihoreby. <br />PEPt1�11T I� VP.LID FOR <br />EXPIRATiON <br />YEAR <br />L <br />POST ON I CAi.L FOR IfVSPECTION <br />JQBSITE 259-8811 <br />24 HRS. BEFORE CONSTRUCTION <br />