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�vcren 1� r �� <br /> e <br /> CITV ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. - — <br /> The Undersigned � - � — <br /> Hereby applies(or permission to � � - !�— <br /> Atthefollowinglocation_�_ �>> - ------�----- <br /> SKETCH <br /> (Wark to be done) <br /> �. <br /> i <br /> 'il <br /> �: 1: <br /> � .7 ' 1 <br /> Yi <br /> � . � .. I .�✓ 1� -� . / r� . <br /> I .� i E v i / � , /. <br /> � � ' '� r ,//. ! � . , <br /> , � ls , , . " _. <br /> � ' r • f ' <br /> ( , � ` ----___. �,� .� � . <br /> j � j� � � �,� , r <br /> ; . <br /> �, =� � �,� � <br /> � , <br /> �. I . j y ' . I <br /> '.n <br /> : ia <br /> � ifi <br /> li <br /> Y_ I�_� .._. .__ --. . ._ ._ ' ..___ <br /> I I <br /> � <br /> I ., <br /> �/ f i � / r� .. �� Ir ' . <br /> . . , ,. � , � . . <br /> ORrvEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE savc harmless the City of Everett fiom any and all <br /> �_- ._-_ -___ -- - -.{ claims for Aamages that may arise because of installa� <br /> ��T tion and maintenance ol the impt\overpent here[o <br /> �� �I" LIP / I applied for and further agrees to re�nav�same upon <br /> � notice �rom the Ciry and �replace � lic property <br /> �30��. . . . ._ 30'� dama ad �rynp. (�� 1 �. <br /> ����«c� �C.�� _�.R �rn J <br /> 5ig ii ature of A �cant <br /> J/�— l ' 1 : <br /> � rurv �v ii��sn��rii� ,,n�•�� i�� nd—Sre`ss _ – – / S�/fl <br /> ; ii�rosi to o;v �ousi i t- <br /> . � Telephone Number _ �o _ J�/ — <br /> I' C11LL CNGINEFf11NG DEPT. 759�flR11 <br /> 741�tlilft : Hllt�Rl r'.(N951H�I��.lit;'1 Data <br /> CHECK LIST Fee �'� <br /> Water Valve Dept. Approvals <br /> C�u�b&Gutter Engineers___T/��._— <br /> Sidewalk � � � Watr.r__ <br /> -- — i <br /> Sheet____._ � � i� — <br /> '��"- Communications <br /> ..---- � --- . _. __ . . <br /> liispector's Siynature Tiaf fic____._._ — <br /> Planning__ - <br /> .' --. . .__....____ . . --- -� • � '_ <br /> -bate - <br /> - ---- - ---------- _. <br /> Remarks <br /> Note: Oiiyinal toCusromer _ _ <br /> �7 <br /> , c�,�v ��>r�i� 1 r 8 — <br /> 1 Copy tu InsPecini � APp�oved by <br /> __ . —__._ . -__ . _- <br /> mm ni,�,�o����i <br /> � <br />