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�"'°`"` APPLICATION FOR PI.RBLIC WORKS PERMIT <br />Type or ptlnt tleerly wllA In4 <br />PRESS HARD • YOU ARE MAKING COPIES > <br />PUBLIC WORKS PERMIT N0. ��- � <br />EVERETT, WASHI TON / BLDG. JFPT. NO. <br />❑OWNEfi AGENT DATE _ _(� 85 h�����c��� � f�Nai� {/h10 <br />APPLICANT/FIRM REPRESENTED ____' __ /JPi��Y�/r�iY/_ ��1-�/JCrS_ �/� <br />ADDRESS -�� ]l��CITY/�E�TEL HONEh.L�•.9��3 <br />HEREBY APPUES FOR PERMISSION TO s���/lG _ff XGCi�___����/�fy p/) �ivOw/ <br />s�'/}111_,SL��=�-S� =J��—_1���_�51de.--s���S/ uJ c . <br />AT THE FOLLOWING LOCATION �iC�d�f t� /�tJ��_�1G'���1_�4,:J f_��7,�'�,�p� <br />Attach five (5) copies ol oreliminary plans for proposed work. Draw to scale and show the lollowing as applicable: <br />• Prop lines and st�r �denUty. • To�og hic chenges�quifing cuts and fills <br />' Outline an ' ��pr�g of exisUng and other th � aNbundation. <br />. proposed.st uct • �n-site 'g��� required. <br />• Existi nd proposed u i ' s. • Er co rol e n req <br />C erline of abutting right o ay. • arrow <br />CONDITIONS: <br />, ... / <br />�� <br />� � 0/i YC �'/R/%� G- <br />�3 <br />3fJC% y/ <br />/ <br />t'i �� /%u � 'f� <'�C � c' c'd_ <br />,�' C/`� ��ok� �1nlC �d( <br />�j <br />. . //) e�. �! !Z / /.T J`r.. G�/C-72 <br />.�Y�,��(J-c%C 1�Z� r' <br />/ <br />i. . . . . . . . . . <br />r.' ' ' .. . . . � . . . . . . . . . . . . . . <br />�... . _ . . . . . . . . . . . . . . . . . . . <br />i . . <br />�,qy �,(/��/., f�5—_I L� � /� <br />A1'PROV D F - f�Si F�� UCTION DA7� <br />7/ � }1n..�, � <br />4NP�1_.\.. L �y.-!/� ��� <br />'ftOitSCON�TRUCj£D 0� <br />PERMIT iS VALID FOR� <br />' � ' %}'�� S <br />.-.,......�.,... < ��%a :� i <br />;'hK �l O-N i/�S�Cr./�E'U . 7'fp. . <br />O�^ r�7<' �L'�� i �G��i�.s <br />The untlere�gne0 owne� hereby epieea �o �olA �nE save ��rmtena <br />Ina Clly ol Evare�l Irom eny ane au clsims lor O�m�pe4 �oel0. <br />o�panee ueoe ol ectlon Ihel may arlee bec�uea nl In�Idl�lion <br />anA in�nant ol Ihe Improvemenl or alhar Aphl�obw�y uee <br />�ore� ap{ ieA lor e d lurthel apreae to romOve ume upan n011te <br />�rom Ihn ily ena 1 replece puDlk pioperty Cam�pa0 I�ereby. <br />POST ON I ,� CALL FC1R INSPFCTIC3N <br />259•8811 <br />.IOBSITE nw ino nrrnnr_i�nuoTrnu•T�nu <br />a <br />1 <br />J <br />