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<br /> "'�'�" APPLICATION FOR PUBLIC WORKS PERMIY
<br /> � TYoe or arini Uesrly wit�ink
<br /> PRESS HARD•YOU ARE MAKING COPIES pERMIT NO. �� 3 3
<br /> PUBLIC WORKS
<br /> EVERETT,WASHINGTON BLDG. DEPT. NO.� /S 30
<br /> �OWNER ❑ AGENT DATE _oZ= �$" �S3 _
<br /> APPLICANT/FIRM REPRESENTED SZ�O_f_c���tZo _ r� �o w�s��
<br /> ADDRESS s�O3 O ( i�w�w��r c�wl C�7�y Everze.�1- TELEPHONE 3�$' `b9 30
<br /> HEREBYAPPLIESFORPERMISSIONTO �H��_rHc� aaraw�
<br /> ATTHE FOLLOWING LOCATION ��� Z Co....w.e� e.�,..1
<br /> Attach five(5)copies of preliminary plans for proposed work Draw to scale and show the following as applicable:
<br /> ' Property lines and ,street identity. • Topographic changes requiring cuts and filis
<br /> • Outline and dimensions of existing and other than normal foundation.
<br /> proposed structures. • On-site drainage systems when required.
<br /> ` Existing and proposed utilities. ' Erosion control methods when required.
<br /> ' Centerline of abutting right of way. ' rth ar w
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<br /> Sipnetufe ol ADDGuni
<br /> coN�moNs: PUBLIC WORKS PERMIT '
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<br /> ' � ' .....: .,. . .. _;._ . _ . � The undersipnetl owner hereby aprees lo hotd and save ��rmlau
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<br /> . :._ . --. 1--.l-- --.._ ..«-;_..._ _.. the Ciry of Everett Irom �ny �ne an cwma lor damapas, coats,
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<br /> � � . . .` .. `. ' . . .. �... ....'.. . . ...... . ._ -^.I ■nd meinten�nce ol Ihe Im rovement M other
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<br /> �-��' " . � ' �`� ' ��' �ereto applied Por and lurt�ar�preet to ramovs qm�upon notic�
<br /> . . � . . .. :. . : ...� .. ... ... ".. . from the CItY and to rePl�ce puClk Oropsrty Mmp�d Mm�by.
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<br /> ? ?8-$3
<br /> rAPPROVE FO CONSTRUCTION DATE \� ACK OW GEMENT NDIT NS �
<br /> APPROVED AS CONSTRUCTED DATE ' `s NATURE OF AP IC NT � DAT �
<br /> PERMIT IS VALID FOR 1 YEAR CALL FOR INSPECTION
<br /> POST ON 259-8811
<br /> EXFIRATION JOBSITE 24•HRS. BEFORECONSTRUCTION
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