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everctt APPLICAI.JN FOR PUBLIC WOR..S PERMIT' <br />� TYPe or Print clearlY with ink � <br />PRES5 HARD - VOU ARE MAKING COPIES �' ��• J ��,,, <br />PERMIT NO. _"" % _— <br />PUBLIC WORKS <br />EVERETT, WASHINGTON 12/10/82 BLDG. DEPT. NO. �x xS323 <br />Gl�G1WNER ❑ AGENT DATE <br />^:razislnnd Ir.c. <br />APPLICANT/FIRM REPRESENTED — <br />� 5::-z z45 <br />ADDRESS p•��• �ox "r4?6 ���, Everett TELEPHONE '98� __ <br />HEREBY APPLIES FOR PERMISSION TO inatall driveway — ;,� �..r _ <br />ATTHE FOLLOWING IOCATION ` /-r � ``'—_ `' <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 fills <br />' Outline and d�mensions of existing and other than nurmal foundation. <br />proposed structures. ' On-site drainage systems when required. <br />• Existing and proposed utilities. * Erosion control methods when required. <br />' Centerli�e of abutting right of w3y. * North arrow <br />i <br />1-, � <br />�T �__: i <br />� .�. <br />Signature of Applicant <br />PUBLIC WORKS PERMIT <br />CONDITIONS: <br />�:.. . <br />� . � /� <br />p Xi3�l�•r �/n.ir.. )C . � `� � i�J ( :�.� � .F,.� � l r c �/ <br />. , . . . � ,... �1�.7��icr� �/1i�r.� Jr p;�t'vit�j .='..�' ; /�!S r�l.;','/s`f�"' . � . <br />./ 1 <br />i. . � �, . . . . . rt'/. /, f S . . �%L2 �a+'.r 4. . /G''C•l. �/ �� "� . . . , . . . . . . . . . . . <br />L�-� 1�._-�._. i _• '_ .' . . ... . .. ...... .... . . . . . . . . . . . . __... . . ._. . . . ..._.:.T_ . . . . <br />. . . � . . . . . . . . . . . . . . . . . . . . <br />I. . �� ;.I . � . . . . . . . � . . . . . . . . . . � . . � <br />,.. � � <br />.. .. ' .--.._� • ._ t. _ .. . _ . . .. }_ . - �.. . . . �.� _ � . . . � . . <br />j . . . . � . . . . , . . � . , , . � ; . . . . t � . . . 1 . . <br />. . . . . 1 . . . . . . . . ' . . . .� � _.�_ . .. . . . � . . J <br />i i <br />_... i . ,- I � . ���. . . . . . . .` . . � . � : . . ; �, <br />�, � <br />. . ._�..�.. 1 . I 1 ._.. .-., 1 .. . ,_ _ . . . � ` . . . ` .._. . ' . . _ '. . . ( -. � . <br />I � . . . . �. , <br />. . � . . . �� + � � � t . , . . . ._ <br />-: 1.:;, ..j �:: +': t+.,.. , . <br />i:._.,..,f.......;. �...�.; <br />� <br />,..,�. ... .�...1. .'...:.. <br />� <br />I-.. . .. � .. . .. . . . . . . . . : . . .. ._. �. .� . _ . . <br />__L� i+ . � � . , � � , . .,��/ � �,� � . . <br />' � % �--'----�^�-�–/�-' L <br />/.- �+'^ �/.v.E <br />R VED F �CONSTRUCTION DATE <br />�//�/83 <br />APPROVED AS CONSTRUCTED � DA' T� — <br />PERMIT IS VALID FOR 1 YEAR <br />EXPIRATION <br />The untlersigned owner hereby agreas to hold and seve hermleas <br />ihe City al Evare�� Iwm eny ena e'i Walme for demapes, coetn, <br />e.penses, or causes of action t�at may erise becauee ol Inelallation <br />�� and meintenanca of the improvemenl or other AflAbobway uae <br />hereto applied lor aetl furthcr egrees to remove same upon noHce <br />irom Iha City and to �eplace public property demeped thereby. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� I � <br />� .�-- - c�..1` \_ _' . . <br />SIGNATUREOFAPPLICANT DATE � <br />CAL.L FOR INSPECTION <br />POST ON ; 59-8811 <br />JOBSITE 2�4HRS.BEFORECONSTRUCTION <br />