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"eye" - APPLICATION FOR PUBLIC WORKS PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES Fa 8 <br />PERMIT NO. <br />PUBLIC WORKS <br />EVERETT,WASHINGTON c�T 82/10192 <br />-BLDG. DEP —. NO <br />EXOWNER ❑ AGENT <. DATE January 28, 1982 <br />APPLICANT/FIRM REPRESENTED Hillis HomesInc. <br />826 S.E. Everett Mall Wa <br />ADDRESS y CITY -Everett. TELEPHONE 355-4492 <br />HEREBY APPLIES FOR PERMISSION TO install driveway <br />AT THE FOLLOWING LOCATION Lot 85 4113 -2 Y <br />Attach five (5) copies of preliminary plans for proposed work. Draw to scale and show the following as applicable: <br />* Property lines and street identity. * Topographic changes, requiring cuts and fills <br />* Outline and dimensions of existing and other than normal foundation. <br />proposed structures. * On -site `drainage systems when required. <br />* Existing and proposed utilities. * Erosion control m thods when required. <br />* Centerline of abutting right of way. arr <br />Sig Eure of Applicant - <br />PUBLIC' WORKS PERMIT <br />r.mrr <br />ML <br />APP VED AS CONSTRUCTED DATE 7/GN TURF O AP,PLICANT DATE <br />PERMIT IS VALID FOR 1 YEAR CALL -FOR INSPECTION <br />POST ON 259-8811 <br />-3 - 8 3 JOBSITE <br />,,•• ;EXPIRATION - - _ 24 H RS. BEFORE CONSTRUCTION <br />yT?; - - <br />