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f <br /> � <br /> ' everen qppUCATIAN FOR PUBLIC WORKS P�RMIT <br /> � Type or Prinl cleetly wiih ink �2 i <br /> PRESS HARD-YOU ARE MAKING COPIES ' Z � <br /> i PUBLIC WORKS PERMIT NO. � <br /> ' ENEREiT.!�!ASHINGTON 02/10151 I <br /> I 1/15/B2 BLDG. DEPT. NO. I <br /> �, ❑ OWNER CXAGENT DATE __ i <br /> � APPLICANT/FIRM REPRESENTED Solie 8uilders i <br /> � 7519 Juniper Drive Everett 353-2331 <br /> �. ADDRESS . CITY TELEPHONE I <br /> IHEREBY APPLIES FOR PERMISSION TO _ �n^s ��P� ��a�� .Q, �I <br /> 1932 Hoyt I <br /> � ATTHE�FOLLOWING LOCATIGN I <br /> i —----- <br /> � <br /> Attach five(5)copies of preliminary plans(or proposed work Draw to scale and show the foliowing as applicable: <br /> ` Property lines and street identity. � Topographic changes requiring cuts and fills i <br /> i • Outline a�d dimensions of existing and other than normal founJation. i <br /> proposed strucfures. ' On•site drainage systems when reyuired. I <br /> ' Fxisting and proposed utilities. ' Erosion co trol methods whsn required. � <br /> ' Centerline of abutting right of way. * No rr w 9 ' <br /> � �� � I <br /> � ignalure el Ap0licant '�, <br /> ', PUBLIC WORKS PE IT <br /> � CONDITIONS: I <br /> ! j I <br /> � � � �Cces� �r new qara5� �I,.w�\ be -Eo all ¢ oN\ I <br /> , , h� �a� .,,�,.,.� « a��o,,.,.9 0. ,;- ,�.,-w i-�yt-; 7 � <br /> ; `� � <br /> � �---�-- - . : i <br /> : � � , : � � � � o � � � i <br /> ' �a : ' <br /> � } r � fEB 8 1982 II <br /> i ______� , <br /> - ,-ti . , . . � .... . .. .. <br /> ` � ' � ' : ` ' � � � CITY OF EVER�TT <br /> � , , , . I . <br /> � . . : . . .,.�....r��__. 1__.. . . Public waJcs oe t. :I <br /> �I <br /> � The un�ersignetl ownen c�reby agrees to holA and sxve�armless ' <br /> I � � � � � t�e City ol Everett Irom any ana au clalms lor demapes, coste, I �i <br /> � evpenses,or causes ol action Ihal may a�ise beceuso ol installatlon � <br /> � ' ' ' ' � - � � � � and mainlenante ol Ihe imp�ovemenl or ot�er riph4o4wey use <br /> I ' ' � - � horelo applied br anC luriher eBrees to removo san:a upon notice <br /> Irom �he Ci�y enrJ to roplace public property Oemaped t�areby. <br /> � �� � /��'O � <br /> � OV��FOR CONSTRUCc N DATE ACK�LF�GE T F CONDI Nj I <br /> 7 <br /> �u � <br /> Q�� 3 L8 �- - <br /> APPROVEU AS CON UCTED DATE SIGNATUR'c O PLIC.4NT DATE ' <br /> PERMI i IS VALID FOR 1 YEAR CALL FOR INSPECTION <br /> ' POST ON 259-8811 <br /> � EXPIRATION /_ �� �� .lOBSITE 24HRS. BEFORECONSTRUCTION <br /> � <br /> ! <br />