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/ <br /> evrrr� r�rr�.i�ia . �un rvn n�un�-ur-rrn� voc renin�i �1 �y� ,,i„�.r , <br /> �'-? �'��, <br /> .�� <br /> � CI'iY Eh�IMEERS ' <br /> •EVERI'TT, WqSHINGTON 7}� _�1 / , <br /> PERMITNO. v Cz / <br /> The Undersi9ned_`�—�(_,_C=h1 �� �J< .i � _� <br /> Hereby applies for permission to �._C��lY�.-r-p �?,c�- c. <br /> _, �T ._ � �1'�d-IV,- T T��(�._ <br /> At the toilowing location__ ._�,l � � �. �a �O cfc� /? f � <br /> SKETCH - __ � <br /> (Wo�k r�be done) � + <br /> i <br /> , ' <br /> ��y <br /> 11�� <br /> � �`�� <br /> �� <br /> ��4 <br /> ✓L� � <br /> i <br /> i` <br /> D <br /> €� <br /> 1 <br /> ORI/EWAV SEC7ioN Theundeisignedownerhereb �' <br /> NO SC4LE Y aGroef to hold and <br /> � ___� save harmlesf the City of Everctt irom any and all Z; <br /> R� claims for damage�that may ari�a beauye of(nstalb• �` <br /> l ��_��P t(on and maintenance of the imprrn�ment hento � <br /> l0';�_._ �p•� applied for and furtber egreet to remova iame upon '' <br /> notice h�om the Ciry and to replwe publ(c property ii� <br /> da thereby. � �, <br /> �,a ���f Ap�an�� � '"-. <br /> ��oJ.j � <br /> .. . . __ . _._ . ___ �o"'G . � �1 7S 1 <br /> IOPY OF ?I{�C�ppLICATION i0 Address "- 9 ��--�� <br /> GE fUSTED Q4 JOBSITE, '��t�-3_ �7 �-+� � <br /> �.7 7 <br /> I CALL ENGINe ERING DEPT.25�}8A11 Tclephone Numbnr �I' <br /> � )4 NOURS f)EFpRE CONSTRUCTION Date - Fi <br /> CHECK LIST Fee -- � <br /> �Yabr Valve <br /> Drainage Dept. Approvals <br /> Curb&Gutter �� <br /> - -' tSidevialk [nyineers __ � <br /> ��- - , -- Water � <br /> ' � � r �'��' ---------_ <br /> � ' Street � <br /> / � .. � <br /> _,�_t-<T <br /> Inspectoi s Signaturo � Ccmmunicetions <br /> � Traffic <br /> �' � -' � — �r'� ' Planninp � <br /> ZSate ---i — <br /> ._�,� _ <br /> Remarks --��- 1 <br /> ? i �:; y - i <br /> � <br /> Approved by y <br /> cusroMan Da�e A , <br /> Pprovnl G <br />