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CITY [NGINEERS �,� �' � � <br /> EVERETT, WASHINGTON PERMIT NO.__��' � �"_ ___.. <br /> i <br /> The Undersigned�.YC-_ M�'CD�iLF� ��%'��r�� _ <br /> Hereb a lies for ermission ro N 7 �r� T ��5 J ��J /�iQl7 ,�7 �t� <br /> V PP P �1L�___ ._�---_`_._/ <br /> �—'—— <br /> At the folluwing location__��__ _J,._J_f_f1 LJ7�.7�/+��—_. --- <br /> SKETCH <br /> (Work to be done) � . <br /> ,vEw.osnH �� � iz' cu�i� <br /> _� D.t'/VEIn�/�Y �� <br /> - - __ _ - ---------------- - R��.�'�PC-D ,`� <br /> ' II <br /> � � <br /> 4 131� <br /> 7aio �' <br /> W �-J N <br /> I - - i� - - ------- ----- � <br /> U <br /> U) <br /> �2�� I tDGE � Q <br /> j �i .� �.ri:,r. P�r,r. ' <br /> No,SrqtE <br /> � 7.5 "'' ST. <br /> � <br /> � DqrvEwAY SECTION ITh undersigned wnen c�reby agrees to hold and <br /> NO SCALE save harmless the City ol Everett from any and all <br /> I+-- --- ���- _�_ -�{ claims for damages that may arise because of installa� <br /> ('�" —,_�_��P �^ tion and maintenancc of the improvr.ment hereto <br /> L�� :---= ;� ,+ ; � � applieA for and 1ur[her agrees to removc same upon <br /> �3P':#. � l O � .�.3��. - notice from the Ciry and to ieplace pubiic property <br /> p� damaged thereby, <br /> 4_` , i <br /> Si,na ure o; Appl�� <br /> :< � '-; � i rC•c-���F�Lr . <br /> COPYUf 7fI�5APPL.GATIU�; �,� Address <br /> ;� �'�'i- i�. o e <br /> E3EPOST[DGN.lOf3SlTC-. — — <br /> �� Telephone Number <br /> � ,;�, � � r�r,irir ; i�.r r, nr_Pr. 25s�s�;�. : ia- af�7� <br /> . t I,� ,�� ii � � , � �.r�� � �iPISlR�li�.l -. l /'tJ'/ ( �� �/// <br /> - r�� Date /� <br /> /c/-L'Y l/ /~ /�1�l V=s�-I-+��� <br /> CHECK UST �yJ FQQ <br /> Water Valve Dept. Approvals <br /> Drainage - � i .- <br /> Curb&Gutler Engineers �'-�._ 7�r•{, i.,t /� /_ :- - /: <br /> Sidewalk Water���,yL„i.�� rr� <br /> . . , Street A. �',� ��~ <br /> —r— ��r� ^ <br /> �'l' ' ,7 � � , �_1 �� � Communicntions _ _ <br /> Inspector's7ignature � � // Jy �� <br /> Trnlfic__ _ _ <br /> _� - Planni�� �=�"f¢ <br /> . � <br /> �6ate---_ .. . _ .. . __ . . . . . —.— — <br /> flemarYs � �-�-- � — - <br /> No�ir Oripinal �n�'ustomr,i - __ <br /> 1Copy �nf�'a ����� <br /> 1 CuPy u Insprct,n APpfoved by <br /> Dale AhploCd ��_. _. .___� <br />