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EVEHETT, WASHINGTON PERMIT NU.
<br /> The Undersigned '=�.%� =% t:.. :i.=;�'L:,'yGG� � `�r„ _'CS��' �
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<br /> ��i At[he following location /= C-' <'=G.. �.1 .� "`� '-. —� �,�' i ��"'��-... .. _ �
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<br /> ' DRIVEwAv SECTION � . . The undersigned owner heieby agrees to hold and ��
<br /> NO Sca�E save narmless the City of Everett from any and all �
<br /> �-- -� claims for damages that may arise because of installa� :
<br /> ' tion and main[enance of the improvement hereto '
<br /> I' LIP � I
<br /> applied for and further agrees to remov^same upon
<br /> ' ����.---------�i.30� notice from the ity and to replace public property
<br /> � damayed there ; j �
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<br /> Signa re of pp i aM _-� � �I
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<br /> � COP'r OF TH13 t1PPLICATI0P1 l0 Address �� J�r:c��;; ,
<br /> L'� POSTED OfJ J0651TG. �� U�Uy ��U( �O. LUF%J '�
<br /> TelephoneNumber _� �'G� '
<br /> CALL ENGINEERING DEPT. 25&9811 �� � + '�
<br /> . � �4 'rfOURS GEFOR[ CONS i RUCI:ON I Date
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<br /> CHECK UST Fee '�
<br /> Water Valve � p�jf / �
<br /> � Drainage Dep %/�a/ /,2���
<br /> Curb&Gutter Enginee ljf��� � �%
<br /> � Sidewalk � �i �} -; Water�G',, ,. /i �T�{�� � �
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<br /> ' Street ;. =� . .� �
<br /> ' � yi /,��{,:±:c.-� Communic [i s ,�� .�,..eP _ iz. .,..)a- ���
<br /> , I' ector'sSignature Traffic � (�71 �
<br /> , L7 / +�'� Planning.' � ' S' �.
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<br /> '� Remarks . � '��.
<br /> Note: Origin2l to Cus[omer �
<br /> . 7 CopY to File 1 (��[�� � � i nor��
<br /> 1 Copy to Inspector Approved ��/i1� / /^otn�i� ,
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<br /> Date Approved
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