3827 GRAND AVE 2018-01-02 MF Import

APPLICATION FOR PUBLIC WORKS PERMIT everett Type or print clearly with ink PRESS HARD • YOU ARE MAKING COPIES PERMIT NO. PUBLIC WORKS EVERETT, WASHINGTON BLDG. DEPT. NO. — ❑ OWNER 7s.AGENT DATE - APPLICANT/FIRM REPRESENTED 7 22 �' CITY`✓�t TELEPHONE 2SB' 364-3 ADDRESS _ %�7 -' s �ln HEREBY APPLIES FOR PERMISSION TO AT THE FOLLOWING LOCATION Attach five (5) copies of preliminary plans for proposed work. Draw to scale and show the following as applicable: • Property lines and street identity. • Outline and dimensions of existing and proposed structures. • Existing and proposed utilities. • Centerline of abutting right of way. 101 ' Topographic changes requiring cuts and fills other than normal foundation. On -site drainage systems when required. • Erosion control methods when required. North arrow 7 W iiiiiiiiiiiiimmumm"iiiiii■niiiiiiiii/■iiiiiiiiiiiiii MONSOON EMSENE ��%��■�■��ommmmoommum ME /n/■■■/■■//■■■ ■//n/■/■I ■��N■�� i/n■iiMOONS MOONS ■iiiii NONE EEE ■■■nn/■i■i�i� MEN 0 MEN am/��■n��l :■■��OEMM/:■NO■Eq■n ■■■/■■ /■//■ ■■■■/!�■■■//■■//■■ o��n��/t��/� �N��■��a�/ on ■■oms/i■/■��iii%i��/■i■�I/ii�/�%�� /OMMEN on ii ■■//ii/niMuna MENi""n� ■■■■/■/_MM ......=.C.C.n...■■■■.s....■n../■../■moss...■///■// Sam n:_::�::_■■■■■:/:/:■■ ■/■/■ ■■ ■■n■/■■■■■■ ■ min NONE ■■■■■//■/n//n■■■/■/■/�■■■■ ■n■/■//■�■■■■/■�■■_■■■■ /■■/■///■ ■ ■/■ ■/ ■■//■/■ ■/_■� ■ /■/■/■■///■■■"ME /■■■■■■/■■■■NONE ///■///■////�■ /■■■FIVAM ■■■■■■■■ ■� OVED FOR CONSTRUCTION ATE /—� �3 PRO ED AS CONSTRUCTED DATE PERMIT IS VALID FOR 1 YEAR T POST ON JOBSITE EXPIRATION— iless osts, ation use otice reby. OF CONDITIONS / 1/G,L�Y/v//r _S -8� nn�r DATE CALL FOR INSPECTION 259-8811 24 HRS. BEFORE CONSTRUCTION J