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� <br />, .�" APPLICATION FOR PU6LIC WORKS PkRMIT <br />�� TYVu �v Prinl cleafl I witb mk _. <br />PFFSS HARD � VOU ARE 61AKING CnPIES pERMIT NO. fJ'�_' /�4'e+�_ <br />PUBLIC WONKS � /'� <br />EVERETT, WASHINGTON '/ SLDG. DEPT. NO.� "' .1"J . <br />�OWNEIi il AGENT DATE `1"_ ?� K � <br />i y/ <br />APPLICANT/F�RM REPRFSEN'EU ������ �+""t � �-�NL- .. ._. ._________.__ <br />ADDRESS C: ( �,( � !!7`� � /f1/Yi l�If . CITY ��F�f%T----TEIEPHONE .�S? -��4� <br />- � ---- <br />HEREBY APPLIES FOR PERMISSION TO L��LAl� _ s: S�(V�dl �G>U/�FcT�'__��lvl7cyly <br />AT THE FOLLOWING LOCATION (-��T 7g YFRHCFA/E_�'I�i�� __ ,_,1s?;� �- ' � - � ? � _��____ _. <br />Attach five (`�) copies of preliminary plans lor proposed work. Draw to scale and show th�� following as aF�plicable� <br />' Property lines and street identiry. <br />• Outline ard dimensions of existing and <br />proposed structures. <br />• Existing and pro�„�ad utilities. <br />' Centerline o( abulfing rigF�t of way. <br />CONDITIONS: <br />J <br />P�JBLP <br />•� l�`ti ( ��- •�� •�11� -. <br />c��.l T�� �'e- T, <br />• Topographic changes reyuiiing cu�s 2nd tills <br />othe than normal �oundation. <br />• Omsite drainage syslems when reauired. <br />' Erosion cantiol metl•ods when re��uir�:d. <br />' Norih arrow <br />� <br />� <br />_��G(1 �T�� <<. <br />s�q{�aerti, ��i nni,i�, :u�i <br />� . <�:. -, , �.;,Y,t-.:'ii9Gc°" -,c:'" .�'.�riQ.�"jS�GF T� �'�,�[it' <br />� � .1 .i .[J. t'���li•.("i...�(� �00 Ti� l�vW�T�4�T.c�� �"JriJ'i <br />; . ,` �r ��,rr?. F'�j �,�'y `-P., 2cO<=•F'_ <br />; . �". �!�F�3%(�U' -'�lir,ft'C� i�JT,� �<�<�� �/: c', c-J _ . <br />� �iC�Y)j i '�'�. �' �'�c:71,:5 /.��.I � Tr �,n� � C /.'2� /J' 'J <br />, _ . . `rS �~ ( d �-'/�: ! C�� ('w' /-� ✓7�0 i! !ii <br />T�e wiEersrz��ml owner haro0y aqrees lo holtl and SflVP II9fTIB5! <br />Ihx City oi Evxr�!il crom eny ena eu cie�mn lor demnpes, coels, <br />papB118E8. OI CB�Ifv3 OI 9c110� IIIB� m8y BfILe f�BCBV6Y ol InS1011BilOp <br />and malnlonence ot Ina improvemen� or ather np���ol�wey uee <br />harelo epV��ed �or and lurther apree. Po rnmove eeme uD�� �obce <br />Irpm IhB Cily anJ lo replace pu�Lc pmVe�ry ABmBBPd ��eraDy. <br />�--/��i . . � <br />� �� . � --� � ' ' / � . �,�. <br />APPROVED f_Oit CO-fN-$TAUCTIB3 �- � DATE �� ACKNOWLEDGE.MF�NT9F CONDITiONS <br />��ROVf: /4jCOY Nb R O�[D DATE SW�}JATUF�� � /�/� ' �� . / ., <br />�'�'.1� _ _ _ ,� � � l ' '__. .._ <br />J �C:�OF APF�LIqANT O.AT[ <br />PEP.�jAIT IS VALID FOR 1 YEA6t <br />-z-� � '' , �_ =;" <br />E X PI RATI ON -.=---------- --- -- <br />CALL FOR INSPECTIGN <br />POST ON 259•8811 <br />JOBSITE �4 FIRS. BEFQRECONSTRI;CTION <br />� <br />� �. <br />�S. <br />p�� <br />Cy� <br />C� . _ <br />H�j �- <br />K ( <br />O; <br />� r <br />�I <br />b� ; <br />�� <br />