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r- <br /> --- -- - ---- ___ - � <br /> � _ � . . , -"`- "- i -- � �� I �/ - -..�.�__ ._ - <br /> �""` APPLCCA��"lC��E F�OIR PURk.IG VI�'ORK� P.EI�MIT <br /> � �YPe m➢rint Ueetly with Ink i _ <br /> PNFSS HARD- 'OU ARE MAKING COPIES �-=� � ���-��, <br /> PERM�T NO. `-'� .' �"�_ <br /> PUBLIC W1�RKS <br /> EVERETT,INO.SHINGTON BLDG. DEPi: Mt2__ <br /> ❑ OWNER ❑ /�GENT DATE _., � _ <br /> APPLICANT/FIRN, REPRESENTED � '' ' <br /> ADDRESS —__ CITY _J �'�', _TELEPHONE <br /> HEREBY APPLIE.S FOR PERMISSION TO �%�I�IrIi _ �'-'�/1�� .:�i I �- <br /> ATTHE FOLLON�ING LOCATION � ` -=p' �-� c' c. -�- ��� ���/ � / ,' � � t� /� ���• /I II�Ii 1��,. <br /> � <br /> 10 Q C /-� e .Sa�o <br /> Attach tive(5)copiea of pra,l'-ninary plan;fbr propo�ed work Draw to scale and show tho following as epplicable: <br /> ` Property I!nes and str �e( identfry. `Topographic changes requirin�� cuts and iille <br /> • Outline and dimensions of exfsting and other than normal foundation. <br /> proposed structures. " On-siiE+ drainage systems when raquire:;. <br /> • Existfng and proposed utilities. ' Erosion control methods when required. <br /> "Centerline of abutting right of way. • North arrow <br /> Si9�alure o!Appllcent <br /> RUBLIC WORKS PERMIT <br /> , I TIONS _ .T _ ____� _ _ � __ .. _ ___ . _ . . - � - --�— <br /> ONDI <br /> f . i' ` �i` � . : �.a�t�r:<� r1�: 17!�' Is /I��7` Gk1���s.�,�yl��r n :s,�i�i// �%��•/� �;�v���/r�/c� : : <br /> %�_�:'�1�!��t�'J/l:� .GU�.� U i�.l�% .<f!�!{�i�..<?.{f'PNi4'-i !ll/��£r�?.�1�.�lG�/'�pi����iiy'_ �-�1r,��>_.'_. 1 : <br /> � . _ . . � ' . . . . . ; . . . . . �: ��/ , � . . � <br /> . i 1- I <br /> i_P������� ! ,� !l �_ � T JF�i�� __f-C�,._ T y � . _./!f" Y/O y � F�> . r . t Ea. .��. <br /> � .. C � !�� � � � � . . I �r .1� L(/ k -G r /!/. . �'Jt :/}�JU rI.�U�l . , : � ; <br /> f . � r— -- ._ .�_�—.--. ._—.,--._.�.__. <br /> � <br /> � 1:/� '� r � 1" � ";�J��l� �.� �"c(i �l(r7�/Or! �J�t7f�S ��11r�!/.h} �r.�%i,� /C:l�'��l� �/ %� /�,;{J t-: <br /> : <br /> � � Y # . <br /> '1;�� 'v i� � � ;.�� ����. _ � � �_ . . ; ' ' ' . ; ?. . f <br /> i ! � . . . . . ` . _ . � . . : --+ <br /> , 1 � � <br /> _'_'_ _ '_`"����. �_�r�( � 7�Iq; } /l il„ �%r'�l�rrll�u�! /�iI�ll y �� �t r vry�A� �i�./.�G�-S��!l.r� r !-i. . � : � <br /> � , /. �. . � � '1�" A. �` � f <br /> � � ��, . j �J�� ,4 .`� � �t��r� {orij�Ny ./. /�� ��/ GS�'.��r.�'- --1 <br /> j > . <br /> , ; k , , i1 , , , . . , . . . . . . <br /> :_ . t ' �+ �•� avrl<<� �� {f � 1 ' : � : : : ' ' . .. : : _- - . <br /> � ' 1 , <br /> � 1 I : 1 : <br /> �-X -�_-- ``:`�� .-- - _ . . . . . i . � . <br /> , j _. . . . t . � ; . . . . . . . . , . : � . . i . <br /> , . . � : . . . . . . . . . � . . . . , � . . : ; . . . : . <br /> , ; i , . . � : I . . : 1 . . . . � : : i ! . . . . . . . . . . <br /> �� <br /> . -� -...— . i . . � . . . . . Tho undersigned owner hereby apraes to hold entl eave harmleq <br /> • - �- t- � . . . , . . : ( : . , t . . . . . . . . t�e Ci�y ol Everett Irom eny ana all clalms br d�m�pet, cotb, <br /> . � � { • . • • � • � � ! • � - . • - • • � � erpanse0.or causea ol ection thet mey ad�e becau�a d In.t�ll�tbn <br /> , • �+---�•-- - � � and meintenance ol t�e Imprwemunt a othar rN�htro4wry u�s <br /> -'�1- - -f ' ' • ' • i '� ' '�i ' ' ' � ' ' ' ' ' ' nareto npplied lor end lutlher eqrese lo romova wma upon notla <br /> ` � ' � �'�'� � : ' ": " ' f : ' ' ! ' ' � � ' ' ' ' _ ' _ from the Clly and to rap�ece publle Drops�ty d�m�ped th�raby. <br /> i . . . .. . . . . . . . <br /> . . (. . _ . ' J , jfJ <br /> "� APPROVED FOR CONSTRUCTION �/ / ACKNOWLEDGEMENT OF CONDITIONS " <br /> /� r/ <br /> - L'cw�z� _c�o-�l ���t '.f �� � ' .. l �[,�C,� �•�3��_ <br /> ApAROVFU AS CONSTRUCTED DATE V � � SIGNATURE OF APPLICANT DAT <br /> �ERM17' IS VO.LID FOR 1 YEAR ppST ON CALL FOR INSF'E�T�ON <br /> JOBSITE 259-8a11 <br /> � EXPIRATION 2a HRS. BEFORECONSTRUC"f'ION � <br />