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CITY ENGINEERS <br /> EVERETf,WASHINGTON PERMITNO. " <br /> The Undersigned <br /> Hcreby applies for permission to � - � � . <br /> At the following location � � � ' - � � — <br /> SKETCH — <br /> (K'ork [o be done) <br /> � - t. — — ' <br /> �, <br /> F c_ / PiC� . . . . `�., . _-.... ___.ZO , <br /> ��:�!�4�^�.�i � . <br /> �� - <br /> ,r,.,'- l i-1 C l�, - "(J ti' : <br /> � ;��;� � <br /> _ =;� <br /> DRIVEwAY SECTION The undersigned owner hereby agrees to hold and <br /> , NO SCALE save harmless the�ity of Evere[t from any and al� <br /> � � claims for damages that may arise because of installa� <br /> +f' LIP —�� tion and maintenance of the improvement hereto <br /> �30" _ _ __�30�� applied for and further agrees to remove same upon <br /> notice from the City and to replace public property <br /> � damaged thereby. . � � � <br /> � .. . � . . . � . � . _ . .,.r <br /> Signature of�App�ican[ <br /> COPY OF THIS APPLICATION TO Address . <br /> BE POSTED ON JOBSITE. � ' - <br /> CALL ENGINEERING DEPT. 259-8811 � Telephone Number <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee . <br /> Water Valve - ' <br /> Drainage Dept. App�ovalS <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water <br /> Street <br /> Inspector's S�.;namre <br /> Communications <br /> Traffic <br /> Planning <br /> �e <br /> Remarks <br /> i r ^ <br /> _�. ._ ._. �:.i �. <br /> Approved by <br /> � Date Approved 9 <br />