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�eaerett A��; ��AiIORq ��Fi �UBLI�' WORKS PERMIT <br />PRESS HARD �rYOU ARE MAKING COPIES q1 <br />PERM;T NO. __(/3 � �" <br />PUBLIC V'✓ORKS <br />FVERETT, WASHINGTON �LDG. DEPT. NO._p_a��� <br />�-9WNFR ❑ F�GENT DATE � 2�3-�z- <br />- <br />APFLICANTiFIi?M REPRESENTED �ILCLS _ :f�([SS__ � C <br />ADDRESS���' �•E. ���f"� {�Z iC. �-(.�!F_ CITY �����___TELEPHO�JE �ss'�I�ISL- <br />r-_ <br />HEREBY APPLIES FOR PFRMISSION TO 1���« aS� ��d� (c`%t/GPG�IE c�21�Ezu�i <br />� -- <br />ATTHE FOLLOWING LOCATION r-�^f /S-� I�f-''7'/9�t�.5.= G?iT�l'7ZKi •-']3 (� _� +� �r, W„ <br />Attach fi•re (5) copies of pr;'iminary plans for proposed wor,. Draw to scale and show the tollowing as applicable: <br />* Property line� and e!reet identity. <br />' Outline and dimensicns of existing and <br />p�opC�sed structures. <br />* Fxisting and proposed utilities. <br />'��en!erline of abutting right of way. <br />CONDITIONS: <br />2, <br />3. <br />PUBLIC WOR <br />••/��(3f.� �'IT, C'cl$C.v1Prt{ C'rP��_ �• <br />V <br />i2oo�- {.�� �Irv.,..a�c �,,:a�F be <br />' Topograpliic changes requiring cuts and fill� <br />otfier than normel foundation. <br />' On-s�te drainage systems when required. <br />* Ero�ion control ynethods when required. <br />ER <br />.� �+_� -�p �jp C�P.CtrPc�; <br />C7�n'1�✓���f.Vo,. 'N12 �oY� <br />An� e�tiv�+ee,z o: i7rt.��enSC .4,�. P+�m Y�..:.�.',.. oee-.��-.�n` aiue <br />v �� cu., n�F.., �. l-, �... <br />- � rhN7 �" tl� f� �ac. rr�� �o� �J��t �t�fr: <br />�a�p;'�S -}{r:.t'tf�l I.n� �..���t �.(,�W. �.p.» '�iL CONSi-r`.c��n �id't <br />.. .. il •�O bl2 C�f.ttw� r.i/ ._O C�n�'l� � . <br />0 <br />� PI4JLt5/' N.iaJftf-Se'.�✓.� e (J.+�✓[ �ic k '"7�D 'J-i.�n� ��" �i�r�/C. �� . . <br />, <br />� . : �..:.......: ..:...i _.. . <br />:....,..._,.,.. ;_. .:._.: .. <br />�� �. .:... . . .. _ ..., � ._.C'_' '.- . <br />� ' <br />j :- � I . : <br />, -;-� -�_ r. � - <br />t• . -' - �-� <br />� <br />PERMIT IS VALID FOR 1 YEAR <br />EXPI RATION <br />Thc untlersigned owner herety agrees to hold antl sava harmless <br />ihe Cily ol Everau tmrt,'any eno au claims for d�mages, wels, <br />expenses, or cau;es ol action Iha� may arise i�ecauso ol installation <br />antl maintenanc�i ol Ihe improvsment or other righl�ol�wuy use <br />hereto appPAd lor and lunher agrees to ramove same upon notice <br />Irom the City and lo re0�ace publio property damaged thereby. <br />OF CONDITIONS <br />, �� <br />/ CALL FOR INSPECTION <br />POS'T ON 25g.gg� � <br />JOBSITE 24 HFiS. B�.FORc CONSTRUCiION <br />