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I' APPLIGATION FOR PUBLIC WORKS PERMIT <br />� l ypc• o� pnn� denily wilh wk � <br />PRE55 HARU � VOU ARE MAKING COPI[5 -�,1,-��_� ;_� <br />PENMIT NO. <br />PUBLIC WORK� <br />EVERETT,VJASHINGTON . BLDG.DEPT.NO.�'�'������� � <br />1'1�OWNER '. I AGEN7 DATL ' � � ' " <br />i1i1113 ❑r,r-,er Tnc. <br />AFPLICANTiFIf3M REPRESENTED . . <br />!".veretl: !;el: Wny l:vrnrett <br />ADDRESS �i`��� "'t`' . CITY __ . <br />HEREBY APPLIES FOF PEHMISSI�N TO Install dxiveway_ Z[ � <br />;�5-44^�. <br />TELEPHONE _. <br />i �li c,(� /',"'.. :,,6'<_'7( <br />------ - ---. -(oDZ 7`���-t. S_�:'.. <br />ATTHE FOLLOWING LOCATION �' � �7�� I��`^''��r`.l'�' C;'Ai� �'� � <br />Attach five 15j copies o( preliminary plans for proposea work. Draw to scale and show the lollowing as applicablc. <br />' Property lines and street identity. • Topographic chanqes reqciring c�ts and fills <br />' Outline and dimensiuns of existiny and other thar normal (oundation. <br />proposed siruclures. • On-site drainage systen•; when required. <br />' Existing and proposed utilities. ' Erosion cuntrol methods vih��n requirr,d. <br />• Centerline of abuttiny right oi way. • Nor1H artow <br />1;��, ,:�;, <br />/ <br />_' si�t,���„ ;,���: �, <br />PUBLIC W()RK� PERMIT <br />CONDITIONS: <br />L-, <br />/� ^ � � <br />a <br />PERMIT IS VA <br />%' � . n .-' ' !/ ._.. <br />'NUCTIQN UATE <br />` "� <br />� TE � � f � AT //�-�Y �— <br />iD FOR 1 YEAR <br />�- .�.�. Irr•.�pn..[! u,r�,rr 'u u�bY dqr��e�s li� h�IJ ,ln� sav� lilm�lnts <br />-����y O� �VPfPII 110�0 dllY AOtl 011 CI&Irt19 IJ! A8f110008, COBIB, <br />� '„��nSCt.OfW�529018CilOOlf181l11ByBfBCbB:.0U6b01 111 9 18110 110 0 <br />,. �•iamtenance ol Ihn imp�ovement or olher riph4ul�wey uae <br />�..-,.i�� np0lieA lor and I�rt�her ngrees lo rnmove eame upan noll[e <br />.. � Ihrt Cili end I�� rnplece Vublic n�on���v ���mogeA IhnrrLy <br />/� ACK7 OWLEDGEMFNf OP GOIJOITIONti <br />! 1��'� 1 . ._,�..,: <br />C <br />slFNni1�fieor,,nal ucnNr nnre <br />POST ON <br />EXPIRATION- `�- - - `- _ _ JOBSITE <br />CALL FOR INSPECTION <br />259-8811 <br />24 HRS. BEFORE CONSTRUCTION <br />