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�� / � <br />� APPLICATION FOFt PUBLICkWORKS PERMIT J/J(� <br />PRESS HARD • YOU ARE MAKING COPIES $� a S <br />PUBLIC WORKS PERMIT N0. <br />EVERETf, WASHINGTON � � � ry � <br />�OWNEfi ❑ AGENT DATE f�u�� _� �. �%� G <br />BLDG. DEPT. NO. �__ <br />APPLICANT/FIRMREPRESENTED �71C��-1S_f;��n1�;�___��J�%_________ ____ _ <br />ADDRESS� �� E• CVEs:CL7' �fJCL _��(%/��_CITY _rVECE1T TELEPHONE .�=�5-�LS�Y.L_ <br />HERE�3Y APPLIES FOR PERMISSION TO �NSTA( � "5� [A//��- (� /�l A��T� [�-•��[�[UAY <br />��-� - -- � � � �� s -3,3 �y�s� �-�U. <br />ATTHE FOLLOWING LOCP710N '] __%�� _ �-i�q�C��L' ��>i" <br />Attach five (5) copies uf preliminary plens for propc�sed work. Draw to scale and show the following as applicable: <br />• Property lines and street Identity. <br />' Outline and dimensions o( existing and <br />propoaed structures. <br />• Existing and proposed utilitfes. <br />' Centerline of abutting right ol way, <br />. � . <br />• Topographfc changes requiring cuts and f(Ils <br />other than normal foundation. <br />` On-site drainage systems when requlred. <br />• Erosion control methods when required. <br />' No� a�row c <br />� � <br />\�,�t-�`—_�i �_ x�,c_„-..-r-- <br />PERM <br />CONDITIONS: / <br />, . . . � . �: d V , 6J.0 � �c .; N r � � �� i: i �l � i z i ', � i i � � L . /� . c ; �, c � / LI / / <br />. . . . . . . . . rC.C.I � .�/�'/�ll� _!:'���1' ��i l,� �/�.•.ii. /I��. �Lt j/IL:i'/4 <br />. . . �� . . . . . " . . <br />� . . . . . ,Y.. l%'/.('t'.1 .— iJ! �/ ��C/S� //i/ /� / Ci • (j\. / S /�= �— ."�C1 <br />i .. �- . -. . . . . . � . . . , = <br />. . . , , ./l` . . .(. /�L��/ i t�♦ . . . . . . . . <br />, .. � . . . � . �'//1/ . .�?��l Ci j�.. t<'r �%./,.:kr.. \L '�b �L. �✓/i_ <br />I / J / <br />. . . . . . . . . �C c `'ui- �i,i� . t��C �J/ l�' l.Qi'�IS/� �r<:�i�.".l <br />' - --- . . . . . . J"l�'�///rr:� . ��i ��.i///`'�'-. . . . . <br />i . � . �� � /� / <br />..�._. !J •✓�:`✓�ii3' `�/<�'��`rrl /in�'• ��,�/t ���.; . . <br />. <br />. . . i•c'i�3 i�"�•.�' 1 ; � , , , /� ; : . , , <br />. ._ : . . , . �� ' t�: �� . <br />��.� .,� < <br />ill//5%- �,� <br />:� ,,. ;/�;, <br />� / , ,,.-. ( <br />� ��� Tho ondersi netl uwn�r h r t q I I Itl A h I <br />" � t <br />�'� � <br />����/%�Q/�` C' � '��../___ <br />,.-APP�OVED FO�1 CON THUCTION D E • <br />i' , <br />�� � �- � � -� I i r ,7 , <br />... . './ -' i�_�_( � i -i_, / <br />h.PPROVED AS CONSTRUGTED - - DATE <br />PCRMIT IS VALID FOR 1 YEAR <br />EXPIRATICIN <br />L� <br />.. y . e n ry grces o o en neve erm ase <br />I�e QIy ol Everolt Irom any ann au cieims �or demapae, coste. <br />expenses. or ��usee M eclion Ihat may etlne beceuee ol Inelellellon <br />and meinlenence oi I�e Imprmnmonl or other r10h4ol�way uee <br />herelo eppl�nd lor end lurihar egreee to •emove seme upon nollce <br />Irom Iha Cily end to rapinca pubfc propnrty demapBA Ihereby. <br />�ACKNO�.'VLEDGEME T FCONDITIONS <br />SIG�4IREOFAP�1 ANT yl� �S �)��� <br />�� �—��--- DATE <br />P05T ON CALL FOR IPISPECTION <br />JOBSITE 259-8811 <br />24 HRS. BEFORECONSTRUCTION <br />1 <br />J <br />