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'"� 110 � 4 <br /> :ITY GNGR�f.FRS <br /> :VERfT7, 1Yq5HING?ON <br /> fhc Undcr.igned_�,��+__���5� PERMIT N0. �' �;� °� <br /> I icreby applics for permission to �=i � <br /> ---- ---- --��..:tr.���--,��.G�aL'�Z� D�� ----_ <br /> >t �he f�llow�ng lowtion� ? ^ /_�'��S1N� �/)____ <br /> _..._._ <br /> �KETCH - — — <br /> Work to L�donc) ' <br /> . . Se� iq7'Trl�i�Eo F <br /> � <br /> O/-' fa l'.��a7`-h«�" ! <br /> I <br /> � �`' I <br /> /�� `y/� • � <br /> DittVEWAY SECTION <br /> NO SCA�E The undenipned owner h��eby aqrae�to ho�d�nd <br /> �� — --------+I �ave harmles th�Ciry of Everctt hom any and all <br /> p_�ip---� ' elaim�for damaqes that may arisa ber.euse o1 in�tallr <br /> I *,� tion pnd maintenante of the improvement Ae�eto <br /> �`�',��-- ---�.3� applted/or and further�pree� to rcmq�e ume upon <br /> notice from the Ciry and <br /> dem ge � �Publie properry, <br /> , � ipn ure P APPLp7t � � .. <br /> :OPY OF THIS APPLICATION TO � 6 <br /> 3E POSTED ON JODSITE. na ress <br /> :ALL ENGINEERING DEPT. 759�8811 � �"`� Sk�p�__ � � <br /> !4 HOURS DEFORE CONSTRUCTION 7elephone Numbe <br /> 3 rr c-7�f� <br /> :HECK LIST rata <br /> Neter Valve � ""���-�.�� <br /> �rainage Fee}�_ <br /> / <br /> :uib& Gutter � �p� Approvals <br /> >idewalk EoOineerf � � � <br /> K. <br /> � W�ter <br /> Sneet <br /> n�P�ctoP�Sipnaturc CommuNationf_, <br /> Traflic <br /> et� __ ' Planninp <br /> '�—.,��_ <br /> lem��ks <br /> lote: Oripinal ro Customer <br /> 1 Copy to File 1103 4 ' <br /> 1 Copy to Inspeetor <br /> Ann�oved by <br /> Datr Annroved . i <br />