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<br /> everett pppLICATION FOR PUBL,1� iMaRKS PERMIT , ..,.��
<br /> � .. TYPe or Vrint clearlY wilh ink 'i�.
<br /> PRESS HARD-YOU ARE MAKING COPIES pERM1T NO. $�/23G
<br /> PUBLIC WORKS BLDG. DEPT. NO. —
<br /> FVER[TT,WASHINGTON
<br /> ❑ OWNER l�5 AGENT DATE ��FuB__�- C 6 1981
<br /> � ��-� �`M �c �GY Snohomiah County Center for the Handicapped (htarvel Induet�le8� '
<br /> APPLICANT/FIRM RE�RESENTED Z52-82�� I
<br /> 2931 - 36th S[. ��7y Everett TELEPHONE
<br /> ADDRESS I
<br /> HEREBY APPLIES FUR PERMISSION TO peve, conetruct dry etorage, and create secondary entrance.
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<br /> ATTHEFOLLOWINGLOCATION �93T'- 36th St. , 5verett, Washington 98201
<br /> Attach five(5)copies of preliminary plans for pr�posed work.Draw to scale and show the following as applicable:
<br /> * Property lines and street identity. ` Topographic changes requiring cuts aiid fills
<br /> i other than normal foundation.
<br /> I * Outline and dimensions of existing and , On-site drainage systems when required.
<br /> proposed structures. * Erosiun control methods When require.i.
<br /> * Existing and proPosed utiiities. No„}�� �W y��`��,� /�qTU�:'T l
<br /> I * Centerline of abutting right of way. �/ (/ � _ />
<br /> E�E
<br /> I � SiBnalure ol ADPI cent
<br /> I pUBLI� WORKS PERMIT
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<br /> I CONDITIONS:
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<br /> �-� � - • � �-�- '-\'�' ' � � � � The undersi9ned ownar heroDy�9�ees to hold and save �armless
<br /> �- � � � � � � � � the Cily oi EvereU tmm uny ana au cieims lor damages, cosis,
<br /> � � I � � ' ' � expenses,or wuses ol action 10at muy etlse because oi inslallalion
<br /> , y . � ' � - and mainlenanr,e ol the imOrO�ement or olher ri8hhol-wey usB
<br /> i I ___�:_--�-� . � - � hereto appiietl br anE lurthur nb�ees 10 remove same upon notice
<br /> Imm Ihp Giry a�tl lo replece public prd0arty demeBod lhere6y.
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<br /> ! � �� /.�� ACKNOWLEDGEMFNT OF CONDITIONS
<br /> '�� / DATE
<br /> Jt�y`•��.� : E�ON� L'�TION Q
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<br /> APPROVED AS CONS UC7ED
<br /> DATc SIGNfTUREOFAPP' ICANT DAT=�
<br /> CALL FOR INSPEC710N
<br /> � r�ERMIT IS VALID FO 1 YEAii pOST ON 259-8811
<br /> I JOBSfTE 2qN1RS. BEFORECONSTRUCTION
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