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�� WASHINGTON PERMITNO. 7$'-G,S�
<br /> EVERETT.
<br /> The Undenigned �oHN ���-L( ,.A'M S_
<br /> Hercbysppliesfarpertnissionto(��NS�fJ?���7' A �-�� f}S�f1AL� [>/�_ / /�'N C_ i����
<br /> i�"Ntl $Lf}GKTo� r,P�A ,vG� L/s2 p � tA eti� �p�i/ATC'� �R��P
<br /> At thc following�ocation_ f�Sr7- / �v!?GiFI_„�it/ (tii�h/
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<br /> SKETCH
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<br /> DRivEWnY SEC710N-_.___ .__ - The undersigned owner hereby agrees to hold and
<br /> NO SCALE save harmless the City of Everett fram any and all
<br /> '"— � claims for damages that may arise because of installa-
<br /> i" LIP tion and maintenance of the improvement liereto
<br /> applied for and furthcr agrees to remove same upon
<br /> 30" __.�0'� notice'fro the City and to replace public property
<br /> , d maged the e � � j
<br /> �G� �.�....� ,,��-. � ,�'.�.w.., E
<br /> Signatu pplic rit
<br /> I� �.'Ior�C vx�s-I.;a, c���. �.� �.�,�i. �j 2I � �.t •iLu.� L �li',.
<br /> COPYOFTHISAPPUCATIOPITO a.� '�a^•,r�.�.�� et�s r�;l: Address � 5
<br /> 8E POSTED ON JOBSITE. z, Co {�+��p I...df�nN�_.� ¢;� �
<br /> CALL ENGINEERING DEPT. 259-8811 • Telephone N mber C/
<br /> , ��� cl,�.oti,Y uL•� z- % - `�'S
<br /> 24 HOURS BEFORE COhSTRUCTION i- � ,�/ ��Date
<br /> Pk r��•-�S-�v��. .-eo� :
<br /> CHECKLIST I�ko h�w c�/�.. �,,,/I bprl! ee �2s,� _._�.-'?'`--
<br /> Water Valve ,� �_�;,��,
<br /> Drainayc Dept. Approvals
<br /> Curb&Gutter ;;' ��t e k- a o ��" � T i�'" �''�'�"` ` Engineers
<br /> Sidewalk .�1 �..., Water
<br /> Street
<br /> CommunicaYo�d
<br /> Inspector's Signature ,-' �' � �ti��, �fiic +��� �
<br /> ,� ��lc.� �, L ��� � ���hdin���
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<br /> ate ����1 �/_1 �
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<br /> Remarks
<br /> 11 � 5 2 '"
<br /> Approved by
<br /> 4 '�
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