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r <br /> _� <br /> ,vG�NEERS PERMITN0�,�3/ y <br /> � 'T,YJASHINGTON ' <br /> - l TheUodersigned / � � o ! f-//��//\��S i"'? � ti N /'�••r�/^=.9� <br /> i � <br /> r, i T� <br /> HertbyapP�iesforpzrtnissionto�; f� R�/'rCr T� A'N,c�:! fJP- 13�1°.�'.��L r ��i: �t!ii��n� �7 S� f r"� <br /> - !� 5 .�.�rr .P/ / ��7fff A4f� S- t'n�rslt <br /> S�yc! A' /�, :: � ��'r:�t7.:+?-�,=,za•r. .:. :i�r'- K-Y /' L o !7 � .� '>...� c <br /> Atthefollowinglocation��3/ � /S�nr77�'/ ' � 5/�•���,'A' ✓ ?�TR�i�K^ � /'� � ���":i. <br /> n/�oHOi.�/; Dnci� 1�1'; Ky!-(- - A� o�✓ <br /> SKETCH .'� Ci7� IZ.�uJ <br /> (Work ro be done) . <br /> �`�—/y��S�';S� � <br /> �l��P� r=i- ,-1 - _ _ _T \ � <br /> � /�[ W � • <br /> .c., /•, �� ' O/�'� <br /> ':/ ' 1 /p , ,�-� , <br /> � .��•1 T 1 <br /> /�Q - <br /> • ' <br /> � ' y/ <br /> 33' I � �1 ,�/ <br /> i �� ; s re�•�i" � rY � <br /> =� - -- - -� � • • <br /> � <br /> � � ; I,Fo <br /> ��� �� I � . �oc.c/inJl3gi� • . <br /> n , nocQ v£ 1i . <br /> F`��;11}I�L�S J\ � �!� ' ; Y i_. .=_ -.— �, <br /> �'� i —. �'f�-...__f�_S'�-_ \j <br /> /� 3 � L;��,,.; };�---�� �� ':ti ` � � , �< <br /> � I � 'f� I � S �'A�n�( I S�J���1 <br /> �: r. <br /> i—'� i 6 » <br /> I�; J : Ty.�c <br /> ;1-�...y� I, ; <br /> .,.!•�' . i� I <br /> G`. ., �� � i <br /> i � <br /> �— , i <br /> _ ; . _ ) -- ------ <br /> -- /� -- - � S�o/rwt.�!( --�----- � <br /> l�/'n4c%v^-� ���Pror1 ' �� � <br /> G" T�!�k <br /> DRrvEwAv SECTIO� The undersigned owner herebv agrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and all <br /> �---- —�-� claims tor damages that ma� arise becauu of installa• <br /> � (�" L�P tion and maintenance of the improvement hereto <br /> apPlied tor and turther agrees to remove same upon <br /> I �p•� I 30'� notice (rom the City and to replace public propt��ty ; <br /> ���1~ da�ag thereby. /�- �;� n � <br /> ��!/"`�'7 lt�� J'«?/h�r.'���, <br /> Signature of Applic�[ � <br /> /G 3i /y��o�c/w4v 9S'z v � <br /> COPY OF THIS APPLICATION TO Address ' � .- - <br /> BE ?OSTED ON JOBSITE. .� S.Z"Z I�{S , <br /> ' Telepho e Nu ber <br /> CA.L ENGI�EEFING DEPT. 259�8811 � �- /O ,,l 7 . <br /> 24 HOURS BEFORE CONSTRUCTION ..�' ' r1'�� Uate . <br /> � � ..,.�_�. 1;� <br /> CHECKLIST (�� .. �'f�f� Feex/p . =- % . <br /> Water Valve ' OCT �S 137U � Dept. Approvals � � <br /> Drainage <br /> Curb&Gut[er _....._._ ... ......... ...__.................. C <br /> CIT'f Gf' CV�RETT Engineers � <br /> Sidewalk � I <br /> Engineering Oept. Wacer <br /> Street_ <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> _�j <br /> Remarks � � �, n � — <br /> (.�. <br /> Approved by <br /> eusTolNa�e Date Approved � � <br /> .. _--------v. �.. . ._--. _._ .. .- -. . . . _.._ <br /> ._ ._.� .._._ _. .-•- --. .__ - - . , ,/' _ . . <br /> . . � . . . . .�_J:_: .� . . 'o. .' . � � . . . • , . . .. ' , ` '� `, �. -'/. . .. .r•�. � <br /> . .. . . ._.�-� ... - . . � .. . <br /> i.. � a <br />