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_ � <br /> r <br /> '� <br /> 1 <br /> r <br /> `" APHLICATIOf�9 FOR PUBLIC WC7RK5 PERMIT <br /> � TYCe or Prin�cleadY willl Ink � <br /> PRESS HARD•YOU ARE MAI(ING COPIES pERM1T NO. �a I °2 <br /> PUBLIC WOFIKS <br /> r VERF.TT,'Nr'�SHINGTON �/ BLDG.CEPT. NO. ", <br /> �OW;JER ❑AGENT DAT� 7-�3—�7'-- <br /> APPLICANT/FIRN� REPRESENTED ��LG�-'.--�`-�����/ ��G � _ <br /> ��(p S� �' �✓��L"'T��- �i�/�rl CITY �v�'�� TELEPHONE 3S�445 z <br /> ADDRESS <br /> .vs7A�� as' �!/.cE���ur�c-r�': �'idEws7y <br /> HEREBY APPLIES FOR PERMISSION TO f — — <br /> ATTHE FOLLOWING LOCATION <<rT � p �;�G�1UC-` G�T�'�'S'FiOI � 0. C'✓1 _Y�L}f S,W. <br /> Attach five(5)copies of preliminary plans for proposed work Draw to scale and show the tollowing as applicabte: <br /> • Property lines and street identity. 'Topographic changes requiring culs and tills <br /> ' Outline and dimensions of existing and . On-shfe drainage systems when required. <br /> proposed struciures. <br /> ^ Existing and proposed uti�ilies. ' Erosion control ethods when required. <br /> ' Centerline of abutting right of way. o h row <br /> ��t� �— natur�valicanl <br /> PUBLIC WOR S PERMIT <br /> CONDITIONS: 1 /� I 1 <br /> , . . '• �U4\ -��� G7ftt�nttC�t N+N>'F-- �C' �]ai.\�'rV�Ir.V n.. "{'1�G �or � <br /> 1 r <br /> .._ . . . �� 1 . b.7n4�.te�C . 'N fV.�it �I�k���' ui� " .�,v.� G�Cur i'� `1 <br /> �� . . � 1 . ♦ �nV c1AW� QtC or. 1 - �l <br /> 1 1 1 1 �� y`- �j.�,lAf./� <br /> � . . � �'�a y.� , C-U.�.S�TNN'�•'� •v�N3'1 �lC �c'�Jr��rl. 1 . . <br /> ._:_: _ . . 3. ��ri5 � �-r.u�ct�Q i..� 1�..bfic. 1��r�1��- -o��nw�7 .f v..,: J �� is <br /> ' . ' � ; �, � uc�..ia� r..�o.�-i�o,. �.�tt �5 'lo. �.�c:. G�ia.,t.Y ..�� .� n��� . . . . . <br /> . . ._.—.-'-_ . . . . . . . . . <br /> . � i , . . . . . � � , , <br /> . . . •� ' _.. ' -. - •--- . . .�. .._. "-' _�. ' - • . . . _ . . . . . . . . . . . . . . . . . . . . . ' _ ' . . <br /> �, . . . : . � e ; � 1 ._,�-.��._._ ..�_-. . . . . . . . . . � . . . . . . . � . . . . . . <br /> . . : . . � . . . . . . <br /> , , � . . � � . . � . . <br /> i . ._� . . i � . . <br /> � - -- ------�-• ' ' ' ' - ' ' ' � � � - T�c undersiBnetl owner hereby agroes lo�old ana a�ve harm'nss <br /> � � � • � � � � ' Ihe Ciry o! Evarett vom anp ana all clalms lor eomeeea �os�s, <br /> � � � � ' ' ' � nzpenses.or causes ol nclion Ihal mxy erisa beceuae oi instellat�ion <br /> ' � ' � : . � . - antl mair.lmento ot 1�e improvemenl or other rig�t�of-way use :. <br /> �erato aoVlied for end lurt�er egreas to remcvo same upon notice „ <br /> , • irom t�e Cily and to replace puEll�: propeity damapeA t�ereuy. � <br /> � �L.vv� ' ��' f" Z R y�� <br /> L DFO O 'TRUCTION DATE �1fCKN 'LE GEM N�OF ONDITIONS � ''�`� <br /> / ��t ,/ �� <br /> �.4 �_ c,i ?_ __ <br /> APPROVEDA CONSTRU D DATE SIG EOFAPF CANT DAT"t <br /> C LL FOR INSPECTION <br /> �ERMIT IS VALI FOR 1 YEAR pOST ON 259-8811 <br /> � EXPIRATION �',3 `}'� __ JODSITE 24HFiS. BEFORECON&TRUCTION i <br /> L J <br />