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�-«•���e <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undt rsigned ___�`_� <br />Hereby applies tor pr.rmis:lon to <br />10�03 <br />PERMITNO. ��_ %�� � <br />._.}Z�L�^ + � G � � S — �/�� <br />1- /'� � � L—�-� L�'�-- •'(1`_'__ <br />At the tollowing location _��.�. �� �/' ��1T TlZ- -- -- - <br />SKETCH <br />(Work to be done) <br />DRIVF.WAY SECTION <br />{._. NO SCALE <br />I__ _ .._. �� -. . � <br />�I' LIF � <br />\ —_. _ <br />�_ —__' <br />���,�—�_--_ _�30..� <br />,,..)P10FTHISAFf'll�. �... �. <br />� � i>osrFn or� .�o�� ,� �� <br />�,i rri�i�:irr;i �.uirt.z5ats�n <br />Ilr,l-6,1:1!i�lll t.'.i';;.�iR�1CilUi! <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk-----.1 - <br />., <br />4�.�'r� �ia_u��- <br />i nspector's Signa W re <br />] L_�� _�.�'_ <br />Date <br />�T �1 <br />�" �,, ����o�� � � <br />� � �Z� \ ( <br />�sx<<i�v�, <br />� �.7 ft1� ¢ �j t `.�VJA ��V{ <br />�� �� `J � <br />i <br />t <br />l <br />� <br />The undersigned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims tor damages ihat may arise because ot installa� <br />tion and maintenancc of the improvement hereto <br />applied for and further ayrees to iemove same uuon <br />notice�efl) the City a�id Ip'tyVlace public propurry <br />� <br />� ...�_r� <br />, �,�,.,,r,�= ,...,,,.,._Ll;!97;� — --- <br />, <br />Dat�� , L r�� c, <br />__ _J ! 5 . ._� �_ Y�� C�_�� <br />Fce <br />Dept. Approvals � 3yv�9 <br />Z.�s <br />c���� _ � � ��� <br />..----- ��--- ..._ <br />Remarks <br />Note: Onginal m Cusromer <br />i CoPy to File 7. � n p 3 <br />1 Copy tn Inspecto� <br />Approved by �. <br />--- G�� 1_"__ <br />�y` �.__ <br />D�te APP�o.ed <br />� <br />n <br />