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eVq APPLI�ATeON F�0!' PUBLIC WORi�S !?ERMIT <br />�� fype or print cleady witn ink G� <br />PRESS HARD - YOU ARE MAKING COPIES pERMIT NO. .'?_a: ��� Q_ <br />PUBLIC WORKS <br />EVERETr, WASHINGION Ci a.7 S� ELDG. DEPT. NO. ���// l �_ <br />�OWNER ❑ AGENT DATE l ___ _ _ <br />APPLICANT/FIRM REPRESENTED �<<_��.5 ��I �CS 7 �,:� <br />ADDRFSS �`� 4 S �� E✓�'������I �� W�i CiTY �� ��`` �� TELEPHONE S S-��S��z <br />HEREBY APPLIES FOR PERMISSION TO ._�5i�%tc- �S� G(�//� ��?/V��P� 7r ���U�zJ�� <br />.4TTHE FOLLOWING LOCATION LOi �! //�!�Y«=%�' ES%!�/�'7.3D3 �*��� % w._ <br />Attach five (5) copies of preliminary plans for proposed work. Draw to scale and �how the following as applicable: <br />* Property lines and street identity. <br />* Outline and dimensions of existing and <br />proposed structures. <br />' Existing and proposed utilities. <br />' Centerline of abutting right of way. <br />CONDITIONS: <br />PUBL.I <br />`Topographic changes requiring cuts and fills <br />other than normal foundation. <br />` Or,-site dreinage systems when required. <br />` Ero n contr�l met ods when required. <br />" North rro � <br />/�1(.- G� �-- -- <br />, <br />% 1(po -�,� c%ai.., o� L Mu3 � be <br />Z• iV�'� G�GJm4�fN� ni �j�tR�'�ice �'c� <br />� .J <br />� w.,s���-�<;;, ,,,�sl-- 6� <br />3, ��d,-;s �.-t�,(r� ;,,� iN.�i,� <br />5�� /.J � Fie� c%e.�.,rr�Y <br />`� .Q�i:s� <br />!�✓a-Vc✓ S<'�ulc.e <br />� � .-_ _ ':_:-. � - � . �_. <br />�_ . t ._... � i ___ i � � <br />{ i _,. ....... , .� .._,.. . .., <br />�4 <br />, � ^ � � i { <br />i E � _._ .� ._ <br />,_.. _...� <br />i _.;. { ! . � . , _. ,. <br />PERMIT IS VALID <br />EXPIRATION <br />1 YEAR <br />,� <br />PE�tMIT <br />�,{� �,.IIti( O N f� z I� �: <br />/u�/�� /�/!N Of.C�irr.ri� �[<� <br />C/ <br />����,;.�. Gj G:,, l�� <br />�� ✓ --'i+'�i..�. '-.'-h �3' <br />:tF� C/ir � !y . <br />r � <br />el�n S J�"�-••eh � r. <br />Ucr/V� 60}c c�O �'`��,•��� <br />/��,����, <br />7he undersigned owner P.ereby agrees lo �olc and save harmless <br />the City of Everelt �rom any ana ail ciaims tor dameges, cosis, <br />expenses, or causes ol icUon ihal may ari^,e 6ecause ol instellalion <br />and maintonanc� ol tie improvnment or other righl-obwey uso <br />herelo applied tor antl .'uriLer agrees to remove same upon not�ce <br />Irom I�e City and to replace public property damaBed Ihereby. <br />OF ONDITIONS <br />�I �— �i/ <br />� <br />� CALL FOR 6NSPECTION <br />POST ON 25g.gg� 1 <br />JOBS�TE 2qkRS.BEF(1�RECQNSTRUC710N <br />