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eve�ett APPLICATION FOR PUBLIC WORKS PERNIIT <br />� TYVe or prir.l Uea�IY with mh <br />PRESS HARD � 1'011 ARE IAAKING COPIES �� <br />PUBLIC WORKS PERMIT NO. ��' _ z y <br />EVEREIT, WASHINGTON BLDG. DEPT. NO.__ 82/1G1"i� <br />❑ OWNER '-I AGENT DATE '7�°�`���'` - <br />APPLICANT/FIRMREPRESENTED yillic tiomrs Snc. <br />ADDRESS _ ���f' S.F. ]Cvcrett I:all Way CITY Everctt TELEPHONE3r„_4492 <br />HEREOYAPPLIESFORPERMISSIONTO . Inetall drivc�:ay <br />. .—� ----- . .. . . ... . . ./. . . � -- - --- <br />ATTHEFOLLOWINGLOCATION I'"t' f'a /��� 7�� �� ST. S�W <br />Attach five (5) copies of preliminary plans for proposed work. Draw to scale and show the following as applic�ble: <br />• Property lines and sireet identity. ' Topographic changes requiring cuts and tills <br />' Outline and dimensions of existing and other than normal foundation. <br />proposed structures. • On-site drainac�e systems when required. <br />• Existing and proposed utilities. ' Ewsion contro� methods wh�n required. <br />• Centerline of abutting right of way. ' North ar.ow / <br />. i�i( ';'�' (�C�.. <br />� . _. �SignalweolAPPI¢n,�l .. _._ '— <br />PUBLIC WORKS PERIIlIIT <br />CONDITIONS: <br />i <br />1�uo� ��O (� <br />`� <br />��� �l�P <br />�l( P.`. n tG <br />16 � 1 <br />G�,� -/' � c_ <br />DA7E <br /><�- -���'�g� <br />DATE <br />� PERMIT IS VALID FOR 1 I <br />� �� EXPI RATION � - � � 3 <br />POST ON <br />JOBSITF <br />w„� S1- b c t.v�.. 1.0 I li✓ <br />Ihc unitcua��m.d uwnc� hmeby a�necs �o �nld nnd neve �armleae <br />I�e Cily OI Everetl 1/om qny Bn0 ell clBim6 IOr AemBpBe, tOe10. <br />e.pensea, o� cxusae ol aclion Ihal mny arIBB Decau60 Of In6lBllallon <br />anU mainlennnce ol Iha Improvement or o!her ri0h1-obwey uee <br />hcrolo eppl�o� lor and lunher egreee to remove eame upon no�lce <br />Irom Ihe Cuy and lo repleco publlc propatly tlemaped Ihnrehy. <br />V�,EDG�NT/QF CONDITIONS <br />{t4' L'� IL_--_. <br />INE O�A�PUCANT � DATE <br />CALL FOR INSPECTION <br />259-8811 <br />24 HRS. BEFORECONSTRUCTION <br />