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� � �e+1t . ,' _ _ APrLICATlON FOR RIOHT F.wwrusEre��� 11356 ` <br /> ... <br /> , ; <br /> � <br /> CITY ENOINEERS PERMIT NO.��._--�-- <br /> EVERETT.WASHINGTON <br /> iM Und�nlp�rd � - <br /> lNnbY�PP�M�fw pa�nittion m ✓ <br /> � _ <br /> At dr fo�lowf^O loc�tion � <br /> SKETCH ;i <br /> (Work to be dons) <br />, I <br /> C__� � <br /> �� , �- � _� ._ �. <br /> p ,-���_�_ <br /> �'.! �:,� �'}, ( � <br /> � ) � <br /> 4.� ^ - <br /> I <br /> � � ,ti./. ...�1.�C y <br /> ��' ;� �� , 1 <br /> ; , :, �_ �z <br /> ,.; <br /> :� 1` '`��- - E 3 I <br /> � �.___ . o l� <br /> _ _ _ �, t� <br /> h <br /> ; � <br /> ,�' �� i ,� c1 ;'�f +n.i , `' �- � <br /> i f v �'�1 i IU % r� .��, 5 �7, �L <br /> , f�L� PlI,�L /�� �'h'��/'�iC 7 % oYU ��g! UE!-�/� 'i <br /> T`> (�'t-- ��`l�Hiyf. ;r <br /> i .4.� �l'c h.'~.', � / �P r` _PL�(.( 115<�� �.� ��1`� l�,�t={� <br /> DFiIVEWAY SECTION The undersigned owner hereby egrees to hald end , <br /> No ScnLE save hartnless the City of Everett from any and all <br /> � � claims for damages that may arise becwse of inst�ll: <br /> tion and maintenance of the imprwement hereto <br /> f' ua applied for and further agrees to mmove same upan <br /> ��„ 3p�� notice from the City and to replace public propertY <br /> dam a9ed.therebY. /� <br /> ' i �J.-�4-`/lii � � <br /> S[gn0�ep�Applicant � / <br /> -� <.r/�/ ("/'"'i:1 f�i7 /.! ,.L,P <br /> AC1QfBk5�� �j�� <br /> COPY OF THIS APPLICATION TO d <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL ENGINEERING DEPT.259�8811 �� � � � � <br /> Date � <br /> 24 HOUFS BEFORE CONSTRUCTION _ <br /> Fee <br /> CHECK LIST pept, qpprovals <br /> Water Valve <br /> Drainage Engineers � <br /> Curb&Gutter Water <br /> Sidewalk <br /> Street ' <br /> ���- Communications <br /> tor's igneture Traffic / �� <br /> Planning <br /> 3-�- d -�c� <br /> .� <br /> Remarks <br /> 11356 — . <br /> y ��.�, <br /> APProved b,i:Yi��'� �/��i�il����/�/1� <br /> Date Approved /� '' � ?�',�� <br /> INSPECTOR'S COPY /��r /.._� <br />