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API'IJCATIUN I UR HIGHT•OF-W/1Y USL PLHMIT � <br /> rv�•n•a <br /> � _, � 4 � <br /> , i.. �� �. <br /> ,, � � <br /> CITY GW��INEERS -• � � l <br /> GV[RGTT, WASHINGTON PERMIT NO.�L;_-,� i �: n � <br /> Tlw UnJeriiUned----- ` — -- ---. .. <br /> HnreLy aPP�ios tnr permissiqn to � '' <br /> A� Ihe folloviing localion ___ I <br /> SKETCH � I <br /> i� <br /> (Work to IK done) • . . , � -. `�� , <br /> DqIVEWAY SECT�04 The underdpned owner hereby agreef to hold and �� <br /> NO SCALE �ave hermless the City of Everett from any and all <br /> f'—'-- —� claims tor damages that may arise because a(installa� <br /> � ��• �i�l tion and maintenance ot the improvement hereto �� <br /> �`�!� -- � applied for and further ogrees to rem�ve seme upen .� _ <br /> �0'�1�____ _ I 30'� notice hom ihe Ciry and to replace public properry . <br /> —T <br /> damaaed thereby, <br /> ipnat� ure ol Applicant � <br /> COPY OF 7HIS APPLICATION TO Addrest <br /> DE PO51 F D ON J06SITF. ' � <br /> CALL CNGINEERING DEPT. 2598811 Telepbone umber � <br /> . 24 HOURS QEFORL CONSTHUCTION Date i; <br /> CHECK LIST Fee <br /> Weter Vnlve OBpt. ApprOvelf � <br /> Drainage <br /> Cu�b&Guttcr Enqineen ''� <br /> Sidewalk Wi1e1 ��. <br /> Street_ � <br /> Communicetiont <br /> Inspector's SipnaWre T1atlic <br /> PUnninp <br /> -6a�e — <br /> / <br /> Homaiks � L— -- _ Y. <br /> � <br /> Apprnved bV �-�'� <br /> ' / � )" �t�� 1 <br /> r:n!:i��•••;�� f1nlaApprnvrJ �1;7�"�j �7/�i p <br />