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�rveren �' "' '` " '` <br /> � ' f <br /> �ITY ENGINEERS �,C/ � � ' <br /> , . EVERETT,WASHINGTON PERMITNO. '� ! — <br /> ' - The UndersiBned <br /> � Hereby appHes(or pertnission to <br /> At the tollowing location <br /> I: � ; i <br /> I SKETCH <br /> (Work to be done) <br /> � i : <br /> � � � � , <br /> t . � � <br /> � - �� <br /> � � � � <br /> c.� <br /> �, , <br /> i � I <br /> � � i `t {y <br /> � � �, <br /> ` 1 �� _ <br /> � , , , � <br /> \\ '. '^ n ' ' /�✓ """ �l U <br /> �v ,�C� <br /> P ��y�� ��✓ �1�� Q <br /> � '��/� <br /> DRIVEWAY SECTION Tha undersipned owner hereby egreef to hold and <br /> NO SCnIE cave hermless the City of Everett from�nY and ell <br /> � _ _.�I cleims for dameges that mey arlsa Mcw�e of In�tall!- <br /> � tion end meintenance of the Improvement heroto <br /> I" LIP applied for end further egree�to remove ssme upon <br /> � �p� �� __ _�30" notice from the Ciry end to replace public p�operry <br /> �"���'r-- damaged thereby. <br /> ignature of App icent <br /> Addresa <br /> COPY OF THIS APPLICATION TO <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL FNGINEERING DEPT. 259�8811 Date <br /> 24 HOURS BEFORE CONSTRUCTION <br /> Fee <br /> CHECK LIS7 pept. ApprOValt <br /> Water Valve <br /> Dreinege Engineers <br /> Curb d Gutter <br /> Sidewalk Weter <br /> Street <br /> Communfcetions <br /> Inspeotor's Signature Treffic <br /> Planning _ <br /> ate <br /> Remerks �� C � � <br /> V <br /> Approved by <br /> � <br /> FLLE. COPY <br /> Date Approved <br />