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-EVCfe" pppLICATI4N FOR PUB�IC W�RiCS PERMI�i <br />� TY�e or Print clearly wilh ink <br />PRESS HARD -YOU ARe MAKING COPIES pERM1T NO. g��— <br />PUBLIC WOFiKS SJ./10065 <br />EVERETT,WASHINGTON lZ�g�31 BLDG.DEPT.NO.— <br />C'��bWNER O AGENT DATE ____-_— <br />Hi.11i3 Homes Inc. <br />APPLICANT/FIRM REPRESENTED <br />626 �. t.. Bv���rett �:all Way <br />ADDRESS _ - <br />Install Driveway <br />HEREBY APPLIES FOR PERMISSION TO __ <br />t w-r' �` I <br />Everetc TELEPHONE 3�5-4482 <br />6 /- <br />ATTHE FOLLO`NING LOCATION __� � � c7 _ 1 +� �r. �IPS�'_ / �%�'7� <br />Attach five (5) copies of preliminary plans fur proposed work. Draw to scale and show the following as 2pplicable: <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 �.iay. <br />* Topographic changes requiring cuts and fills <br />other than normal foundation. <br />* On-site drainage systems when required. <br />* Erosion control methods when req��ired. <br />* North arrow� . <br />�i. � i /_ - n <br />.' �pil',l .t_� <br />BLIC WORKS PERM <br />� CONDITIONS: <br />' � � . ' ' . ' �OQ� ��A\N� N'N>� ln'�II12e— S��RS� <br />I�I j.... be rq �,..� v,9 ,...-�-o d r q- w e l l s o - lil � a <br />, l <br />�I . ro „��1 r� -� b.� �� o� ,.., a l lc. � S <br />��' <br />�� . . <br />�i �. . _ . - . . . . . . . <br />i / y Q�F�KE� SH�c�cl� 5'� rJ,l,Lz>!/EF'cstZ' <br />Io� o cic S o r <br />o� Per�. ���e <br />H� + .R��J,...Pa . <br />i'' . 2 G� �,r,p DR��,U/�� �_s v�1��;�;�c���0 C�V� snt-�si,� <br />.�r 2�Coc_KS> <br />YV 1I.�-- lL.u,U cr�tJ Tb ��vu/,Ff , SI�l1�U)AGK, <br />,3;'; t-u,g--'i�,� �- %���2.�-;�; f//�� �Uni :.,�c;Eiyl.. _%rU,S.T���-�� <br />, ; � , / :- , ; .� �r �. /��. ' , <br />, - ,�- �: L� !-, a 7 � . <br />... . ... r . . . . ,-�. . . .. . . . <br />i�> . . . . . . . . . � � <br />�.� . : � %'Gp/��y `], • e � _... j_ C�C . � . . . j/. <br />I r TL <br />l . . . . � . . . . . . . . � . <br />� . . <br />� . . , <br />� _. _.. . - - _ . . . . . . . . . . <br />i. . . . . . . . . . . . . . . . . <br />(/r��( `:r�-� F-�� �' � �L <br />� <br />APPAO��ED FOR CONSTRUCTION DATE <br />—�'��t�Q2?as�__,_;_ *H���3; <br />�..��..�.�:�r� /: C / .� <br />e <br />The ucdersigned owner I,erchy a9rees to hold anrl save harrJe�: <br />Ihe Ciry of Everett t�om any ana an claims lor damages, co:ls, <br />expenses. or causes o� action ihal may arise because of ins�a�lalion <br />and maintenance of Ihe impro�ement or other righl-o��riay use <br />here!o applied lor-onA furiher agrees to removo same aoon notice <br />I�om Ihe Cly and lo replace public pro0erty damaped Ihe�eby. <br />% ACKNO�LEAGEMENTOF�GONDITIONS / , <br />! ��� ' !;, �;�-,; ��__ �,/, � � <br />�SIGNATUREOFAPPLCAfJT .-DATE <br />PEEtMIT IS VALID FOR 1 YEAR CAL!. t=OR INSPECTION <br />P05T ON 259-8811 <br />EXPIRATIOM � a-3 _ ��BSITE 24 HRS. BEFORE CANSTRUCTIOPi I <br />� <br />