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� <br />everett APPLICATION FOR PUBLIC WORK� PE�iIIAIT <br />� TYPe or Vnnl cloarly with ink , / . __" __— <br />PRESS HAFD - YOU ARE MAKING COPIES pERM1T NO. ��� }�" � <br />PUBLIC WORKS f <br />EVERETT, WASHINGTON /;�� BLDG. DEPT. NO. �/C n��"'- . <br />�OWNER ❑ AGENT DATE � , / <br />APPLICANT/FIP.M fiEPRESENTED ����5 I /"n7f� �"^� - . . - . � <br />ADDRESS d�!' S E, �(�EI�L�TT�%%!I<<' _(�v.rl y _ CI'fy G+'�/`C� _ 1ELEPHONE ���YfZ <br />HEREBY AI�PLIES FOR PERMISSION TJ l���tL- p!S� {{/�v� ����'�E�_ ��`���r__- <br />_ _ __ _��. — ---- <br />AT THE FOLLOWING LOCATION LBI �n0 _ V.E"�LK.�"�CIQ- �S{t��s'" ����1 _�'S _ PI' S.�,V <br />�`.ttach live (5) copies of preliminary plans (or Froposed work. Draw to scale and show ihe following as applicable: <br />' F'roperty lines and sireet identity. <br />• Outline and dimensions ol existing and <br />proposed structures. <br />• Existing and proposed utilities. <br />• Centerline of abutting right of way. <br />CONDITInNS: <br />• Topographic changes requiring cuts and tills <br />other ih�an normal foundation. <br />O site drainage systems when required. <br />• Erosi n control��ethods when required. <br />r�,� � <br />A� �U�9nelnreolApPhcenl -- � �— � — �--- <br />PERMIT <br />I/^_ ., �, I / / <br />Il`�iPPr�- ��"/�' PItSP I'nPrt/ .a'�Pc�. �S /�C� 'yo �C CYPQiP <br />o� �/ / �^ p.�i � /! v / <br />OOr" '�� C%/l�nOsC iNdSf de [brr���n�� F � J� <br />� JQn� �/R,+,, a fe o. 6�.'a.E�.� e <br />Ulle -�v G0r137"/'�•GTivn ^+us/ <br />7. .(/f'O('/i �/I� fM1 h0/��� ��N �/[ <br />�Ai ��C �IUr� 9iV'C %i 7� ��' <br />' , ,l�i�/cs l� <br />/�f <br />PERMIT IS VA <br />EXPIRATION <br />N�C� SPi"✓ i C P <br />y,����. <br />L <br />ED� ----���- <br />FOR 1 YEAR <br />-� �t6/.i R�c+� ac[i..r�„� <br />� <br />be ,c���.,.,1� 6l d„�� �i <br />�P/lv -7�ro...-. 7�li, r <br />C�L�Jn �J' v'J C!'!I� / . <br />��...�-v �/ <br />/•�G It ]� 'Y'/rr ry/ <br />The untlerbigned owner hereby eqiees lo hold and eava Ilalmle�e <br />Ihe Cily ol Everell Irom eny ona ell cleime lor dema9et cotl�. <br />B�pCnSn9, Oi CauSB6 OI BthOn Ihal mey etl6e �eCYU�B OI Inal\IIe110n <br />and maintenance ol tne h,iprovement or olher riph4obw�y u�e <br />herelo aD���etl lor end lurthe� agreee io remove s�me upan notice <br />Ifom IAe Jlty entl lo rBplete pu6lit proPerty demeped I�Broby. <br />COND�TIONS <br />POST dN C4LL FOR IMSPECTION <br />259-8811 <br />JOBSITE 24 HRS. BEFORECONSTRUCTION <br />