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., a �. . . ��... .—..�. ."�'__. . . "_ _ . .' '. " "'" . .. . . :'.. ._ _"�-:�_._�_ ..._.' <br /> , .'� . .�y...4 . . . . . <br /> � , ' ' i <br /> ' / . .. <br /> � APPLICATION FOR PUBLIC WORKS PERMIT <br /> � TYPe or print cleerly with ink <br /> PRESS HARD•YOU ARE MAKING COPIES pEFMIT NO. 8O� a U <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON �� '' , BLDG. DEPT. NO. ^ S 3 3 <br /> C�IOWNER O AGENT DATE __Z�_- � ; , - <br /> � <br /> APPUCANT/FIRM FEPRESENTED ���""�� �� � � '��'� IV� _ 'rr�vlc�r' <br /> ADDRESS =��'� F N1c �� �;�� \/I '�!./ I�lf�Jc CITY F ����'� � �� TELEPHONE � ��� -I�J�II <br /> HEREBY APPLIES FOR PERMISSION TO'� '� �� ' ��O"" � � �f�.;,'w(1�� t'>K F . �nn�tn�=- �/���ti <br /> i ,r�`i.. . —�r,r new r-es ic� e�c� <br /> T � <br /> ATTHE FOLIOWING LOCATION `� 5� r' n^��� �/1t' �� � ���� ��� �`t� <br /> AttaCh five(5)copies of preliminary plans for proposed work Draw to scale and show the following as applfcable: <br /> ` Property Iines and street identity. 'Topographic changes requiring cuts and fills <br /> • Outline and dimensions of existing and other than normal foundation. <br /> proposed structures. ' On-site drainage systems when required. <br /> • Existlng and proposed utilities. ' Erosion control methods when r�quired. <br /> • Centerline of abutting right of way. • North �row � �G. � ,., <br /> rrci�� /�t��� � <br /> ��Slqnature ol A nt <br /> coNoirioNs: PUBLIC WORKS PERMIT <br /> � ' , , 1. ' Urivewuy urrons shall Ue installed per attadted Stundard P1an �307'. ; . 1 <br /> ; i a <br /> ; 2 Existing curb saction and sidewulk in new driveWay areas mvst be --�-r-� '-� � j <br /> � � . totally repleceJ to the satis£uction of the Public N'orks Inspoctor. , � { ; � � <br /> . � i ' <br /> i T- 3: That poMion of the nex driveways botween tho back of sidexalk and '--�- -�-�' � � <br /> i . . , i .- fhe property l�ne must be paved. Gravel is not acceptable. II j -; <br /> i � A. 6' high fence zs not permitted in che front yard. Dtaximum al.lowable � �} `�?4_ <br /> i._ .; ; ! in front yard area is 42 inches. ', , �-1-. ._� �'-f- <br /> -�-�5. � � r � .r_, _ <br /> `� Roof drxins from structure must be tightlineS to side sower. � � , �_'- � "'i <br /> i 1_.. ._ <br /> � � � ,...-. f � , <br /> . . _ t _ <br /> . . . . <br /> � _.�� -. .. .. . . . .. .. . . ��.n �..� 4 1.-�.. . � <br /> . . i ' :...: . .:.. � ..._�: . : _. . . .. . � � <br /> � � 1 J �. I� __-1 _�-i i i + 1 � L. �.1 .1 l ' !� : � � . i <br /> , .�.._f � �i -1.aJ_�:. _ ,� 1 I <br /> i ,_ ._. _ <br /> ,. -T 1�' , . �_I I t_ . ' � . �. .. <br /> . � !T � � I.� F y � � i t - Tha unCersiqned owner heroby eqreee lo hdd end uvs h�rmlew <br /> ��_, � �i� i �!�1 r� i �--�--{- , �. . Ihe CItY ol Evereu trom any �na an cuims lor d�mp�� cW�. <br /> � � �� I I i � ' ,,�..,�_.,_ � :._:-1 r - � � expenses,or caunee ol actbn th�t m�Y�NN Ese�uw W Imt�l4tbn <br /> . ...__ _r� 1 . <br /> . . , : � ! . . , , ...�. � .. -� � , � - � � and mainlenance d t�a ImD�emen: w ot�er rqhlol-wy uM <br /> :� . . .. . � � . . � �, . . �� � � , � � ��. �ereto aODlied lor and lurt�ar aprass to remwa um�upon notic� <br /> �. . . r.. , ��' .� �- . .. � . .. }rom the CitY and to reDla[e public OroWM d�m�pW thM�W'• <br /> ! ����'"e`� -. .��� _ ._ _ . _.. <br /> y,.,.�✓�'PC'�-�---S-G - s Z— <br /> � ROVED FOR CONSTRUCTION DATE ACKN LEDGEM T O CO ITION <br /> `_ r 7�z�3 <br /> APPRQVED AS CONSTRUCTED DATE IG ATURE OFA UCA <br /> PEkMIT IS VALID F.QR 1 YEAR CALL FOR INSPECTION <br /> � i�,F,r,�-avo.o J POST ON 259•8811 <br /> EXPIRATION 7��` � JOBSITE Z4 HRS.BEFORECONSTRUCTION <br />