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<br /> CITY EtJGR:EE1rS • �
<br /> EVENETT,IYA.SIIIIJGTON . . 'PERMI7N0._��^ 203
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<br /> Thu Undcr;� ned K ��'i r. -
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<br /> llcrcby applie:(or pem�ission to y Ct7_3f1'uc��o:;y.���_C�rt� ;cf'' � w'� / �'=� � �
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<br /> �l 5 coi..i,-.�'.�- 7��.,,�'_; �
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<br /> At the fo!iov�ing location � Qr' C o � �r . �
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<br /> SKCTCH �
<br /> (VJork tn be donc) � '
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<br /> Drawn by ���� ` �
<br /> . �t''��� a�'"ii!-, ���f�)E
<br /> P�4 . DRIVEWAY SEC7ION e un ersigned owner hereby agrees to hold and �
<br /> Ho Sca� �
<br /> save h�rmless the City of Everett from any and aii I
<br /> � �_3�--� . elaims for dama9zs that may arisu because of instaila� �
<br /> ��� ��p� � t/� tion and mainNnancc of the improvement hereto
<br /> 30'�I I 30" � l� —�J �7 E applied for and further agrees to mmuvc same upon f
<br /> I"� S '1'��—'7 �� � notice from [he City aod to repiace public properry �
<br /> d maged thereby, I
<br /> . ' ' . �II.J� ���L�`• /.7 4'1�J_��/i
<br /> Si�nature of Applicant
<br /> l��"�.' !�lF� lj-r�
<br /> COPY OF THIS APPLICATION TO l�ddress
<br /> BE POSTED ON JOQSITE. �t7,i,'��Q�;=i/y GU�J,
<br /> Tclephone Numbcr
<br /> CALL ENGINEERING DEPT. 25�J F3811 ��� � ;��r
<br /> 24 HOURS EEFORE CONSTRUCTION Date c� ���
<br /> �"="}_Z rE) ���:� . �
<br /> CH@CK LIST • Fcc r"
<br /> \5'atnrValve � • /C��- �lG�'!�,
<br /> , Dept. Approvals
<br /> Drainope . � �/ �
<br /> Curb&Gutter - • Gnpinccrs 1�"/�,�-1 I/' �
<br /> Sidcwalk � � �
<br /> • . watcr r�fG�r�'� i,, , 1 � .�6'0
<br /> � $IfCC[(�l ���,y_(T f_�7
<br /> t / i•. ��
<br /> Coininu:iicati�ns_/S.—�/ :��—y�GZs✓1t.� `
<br /> Insprctor'sSignaturc /�� . n ����` (
<br /> Tr.(fic �_„rrC - �',.�.�c.¢,..r �"
<br /> . � Plannin��i�,��j,' �i.....��----� �
<br /> balc . • �CL�c'c4 •�, /'• !���na���i�G�tt:[�o i
<br /> Rem�rks � —
<br /> Nutc: Orig�nal ro Cusinmcr � . - --
<br /> i c��,; t�, ra� .� � J � u --
<br /> 1 Cupy Io In•.��ectnr . ' . Appmvcd liy �
<br /> Ddtc A��piovcd ^ �. �
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