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_ � <br /> r <br /> 1 <br /> r � <br /> everen qpp��GpTION FOFt PUB��C WORKS PERMIT <br /> 0 TYVe o�C�int tlearlY wi��ink l 3��_-- <br /> PRESS HARD•YOU AFE MAKING COPIES pERMiT NO. �— <br /> r pUOLIC WORKS BLDG. DEPT.NO._.- � <br /> EVERETf,WASHINGTUN �1,, ,� � _b' Z _ <br /> OOWNER ❑ �GENT DAIE '- - --'-- � -__ <br /> ppPLICANT/FIRM REPRESENTED ._/-"��=�� "-��1/��s - �/ <br /> �� - �2SZ"-/9�l• <br /> ��/��. /7 %�� ___.CITY � L'('l�F// _TEI_EPHONE_� <br /> ADDRESS � �. — S��t� ��r fZ�Oi'�� �r,�r [:� ' �7�� <br /> HEREBY APPLIES FOR PERMISSION TO �-----�— L�— <br /> y��z_ <br /> f�i � (,s��`�4-1 C��� i e� C�-f 3oas ,f%cc��/J�e. <br /> G � ��, _ C��<t��_ <br /> �;F'�:C�'�' �c. <br /> ATTHE FOLLOWING LOCATION Iicable: <br /> Attach five(5)copies ot preliminary p�ans for proposed work.Draw to scale and show the following asapp <br /> • Topographic changes requiring culs and tills <br /> • PropertY lines and street identity. other than normal foundation. <br /> • Outline and dimensions ot existing and . On•site drainage systems when required. <br /> proposed struclures. • Erosion control methods when required. <br /> • Existing and proposed utilities. NoRh arrqqw � <br /> • Centerline of abulting right o� waY• /i�� <br /> ,�� <br /> —f` Sig Wroot iunt <br /> PUBLIC WORKS PERMIT ��,�� Lw �k <br /> S��,pe <br /> � <br /> CONDITIONS: t �t \.,rte� <br /> I � p�-�'- �[��V�gj• A <br /> �_, �$ �� ti�e. �„p.a <br /> .J � 3 r`Z�� QiP 0� O.C,"P1��S�'�n <br /> �llt°�'� <br /> � ,h_.�FL-Y�L�' A '���\.,..N� u^`", <br /> � L�1-f1�� � <br /> n �,}�3p�P�Q° � <br /> �L _ _ ---�ouE� <br /> L9�'x' v .c, o 0 0 0 0 <br /> � <br /> V .j J tU � .. . <br /> s <br /> C -�I(� _�'.._— <br /> u�• S'S`^ <br /> e r.c` `'�.{1 �� � <br /> �� �' � N ���� 1 \f,(,v <br /> .� <br /> J <br /> �� U � �t 'q\� T�e undersipned awner �ereGy apreea to�old ao0�ave Oum�eu <br /> ��� F, / I�e CiIY o� Evamit Irom any ana au cieime lor MmpaR rop�. <br /> � ��V1' / e.oenses.or causes ol ection tnet mey ulsa wuub o���stelullon <br /> � and meinlenence ol I�e improvement or a��e� ���'������oik� <br /> ��� IIBfB�O BD�IiBE lof 8ntl IulI11B1 OptaB!IO fl1110�e l�TO U�0 <br /> � Irom t�e CflY and to �e�laCe v�bllc pmpedY tlemeped �hereby. <br /> L � ,L,G � (/� �/ ' ��/� r/rr ACKNOW 0 EM NTOF NDITIONS � <br /> qpPRO ED FOR C NSTRUG7i�n TF �/a /O 2p �'L <br /> _ �� ✓I / �il_ �/- �� Sj�NATU EOFAPPU�NT �I E <br /> � DATE <br /> qpPROVEDASCONSTRu��cu Cp�L FOR INSPECTION <br /> PERMIT IS VALID FOR 1 �,/R pOST ON 259-8811 <br /> L �r f- 3 / d�z�/ D"/ JOBSITE 24HRS.BEFORECONSTRUCTION <br /> �ON <br /> L <br /> J <br />