Laserfiche WebLink
� <br /> eV� APf�LICAT6i�IV FC'aR PUB�lC WORKS PERMIT <br /> 7vpu or prmt Cleerly wdh ink r <br /> PRESS HA.4U-YOU ARE MAKING COPIES pERMIT NO. 4'-`=_!_'R_-- <br /> PUBLIC VVORKS <br /> EVERETI'.WASHINGTON ' BLDG ��PT. NO.__ _ <br /> O OWN[R ❑ AGENT DATE -Lf_•�1�8Z__. <br /> / },- - <br /> APPLICANT/PIRM REPRESENTED _.���L�S._!_/__��E-S �U��- - � - -- - ---- --- <br /> y� n c �__!(/E7Z'E7/ Mf�<<- U:�l� ' CITY i=_ ✓�k'C%I _TELEPHONE��SS �;`�4..'--- <br /> ADDfiESS _�_ � '� -� ------ <br /> HEREBY AFPLIES FOR PERMISSION TO -LuSI �� a S� .����t�c aR l V�W=�_ _ <br /> --- . _ . -- - `— - — -- - - <br /> �T �7' <br /> ATTHEFOLLOWINGLOCATION �L � ��'C.��PhG .�(V�_ S�In�.__ _ (�c'�7tt�(t� c- iii!+ '- <br /> Attach five(5)copies of preliminary plans for proposed work.�raw to scale and show the following as applicable: <br /> ' Property lines and street idenlity. • Topographic changes requiring cuts and fills <br /> ' Outline and dirnensions of existing and other ihan normal toundation. <br /> proposed structures. ' On-site drainage systems when required. <br /> ' Existing and proposed utilities. " Erosion control,methods when required. <br /> ` Centerline of abutling right of way. • North�r[ow � <br /> - , , <br /> 1%�, �!/(C. <br /> _'t: !, � - - - — - -- <br /> Signa W«�ol Applica nl <br /> PUIE3l.IC WORKS PFcRNiIT <br /> ::O��ITIONS: <br /> � 'r . .._; �_� ,� ;�1 , _ , ,�� �._ ,.,�„ � � _ _ ,., �. . _.���._� . -t', _ 4���-�� <br /> / ��c���-L� �� _��-c_�L�-� ��e�.�L�-- <br /> �e .--t�-C�'���L-;C� __�__ / <br /> �, //S� -e-r1-c-,�t�-r�vLE�-Q �� /,�''�^��G�" �lt�'L�`� <br /> .��� �� v <br /> .3, C-f�:.�c��� �zr-�-� ��•r�rti;z--�-j� <br /> •�.�� /? - <br /> ,%c--_ <br /> ' 1���,, n�.�v .•;n.��l oa��c� ^ercLy ugn�.es lu had nnA snve harmless <br /> ' Inc C�P, oi [vomlt tic m any ;ma an cianns Im damagas. tosis, <br /> , �+penses,or causes ol ac�ion Ihat mny arise because ol .nstnlletion <br /> . and mairtennnce ol Ihe imomvemenl m olher riBMoi�way use <br /> , hereto applietl for and Imther agrees to remove samo upon nolice <br /> , irom thr Ciry nntl to replaee public orcoeity damaged thereL� <br /> �r.-'�C�i k,L---� �-e��-f(2�. <br /> / PROVED FCR CONSTRUCTION . DATE ��AC NOWLEDG�MEN OF CONDITIONS - <br /> �'� i, .L •f = �^ , <br /> ( ; <br /> �-�:,;2�-.�- � - / i--�� - " \ �R j L'`. --- -- - <br /> _ _ _. J <br /> qp��- ��� T DATE � /�I NATUREOFAPFLIC�NT � DATE � <br /> PEFSMIT IS VACID FOR 1 YEAR ` CALI. FOR INSPECTION <br /> POST ON 259-8811 <br /> EXPIRATION - � `� � �J JOBSITE 24HRS. BEFORECONSTRUCTION <br />