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everetl HMIT . .; i <br /> � ._ _ ... __ . <br /> CITY ENGINEERS <br /> EVC-RETT, WASHINGTON PERMIT NO. <br /> The Undersigned <br /> Hereby applies tor permission to � <br /> At [he following location " <br /> SKETCH , <br /> (Wo�k to be done) <br /> 1 . <br /> ; i <br /> i <br /> i � <br /> � <br /> ' _ _ _ <br /> i i�ts � <br /> I ; �� <br /> � i---- -- - <br /> � - _._`--%- --_.: -______� <br /> ,__.__ . <br /> DRIVEWAY SECTION The undersigned owner hereby egrees to hold and <br /> NO SCALE save harmless the City of Everett from any oad all ' <br /> � ��� — ---- -- ----- -�-'{ claims for damages ihet mey arise because of instal�e� I <br /> � �I" LIP tion and maintenance of the improvement hereto . ' <br /> applied for and turther agrees to remove same upon <br /> �'JO'� _ _ ____ _ _ I 30'� notice irom the City end to replace public properry <br /> �T' <br /> demaged iherehy. <br /> Signature- a�-Applicant <br /> COPV OF THIS APPLICATION TO � Address <br /> BE POSTED ON J08SITE. <br /> Telr.phone Number <br /> CALL ENGINEERING DEPL 259�8811 , <br /> �4 HOURS FiEFORE CONSiRUCTIONI Date <br /> CHECK LIST Fee � <br /> VVatar Valve Dept.'Approv8lE <br /> Drainage <br /> Curb&Gutter Engineers ' � � i . , _ <br /> Sidewalk Water <br /> Street <br /> _—_____-- . . .______ . __ __ Communica[ions_ _ <br /> Inspector's Signature Tratfic <br /> Planning <br /> � ---- - . __. <br /> . _ _-----._.. <br /> ate <br /> --__.___—_._ . _. . <br /> .__ ._ ___ _- ._ '_ '_ <br /> Remarks — <br /> Approved by <br /> Dete Approved p <br /> J1 <br /> 1 <br />