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. _. . _ . .. ,� �}�. � . <br /> t ' i -. ?J � _. � �. .. . . . , . . . . . . . . <br /> � <br /> � ' !`„"FLICiI'1lUfd FOfl RlGlfl'-01=•WRY US[ PL�!i'.11l� <br /> evrrc�l <br /> � ' f,:�\ <br /> � w,.r,y�:� <br /> �:.i�.i.,�� /c�!�,C,S%' <br /> i CITY fNGiNEERS ' ''�^`�� //,�/�C, <br /> f EVGfiETT, Vd:\SIiINGTUN PERMITNO.__' , T •� <br /> � lhe Undersigned _�D���JS'- . <br /> ; <br /> � Here6yapplics (orpenni;sionto /'an/ST�veT f� ZS' /� v,�l,q-/ T /�/�,�,' <br /> . y -- <br /> � At thc Inlirnving location 3%O .s G//i r+�,s �/ q-� � � <br /> I ?- <br /> SKETCii <br /> (V�ork to bn done) � � <br /> . �jCF r��f�GH. .: 'r' . <br /> . �• . _ , � _� . „�,Yi� %i�. � ,:::% �. . , . , . � .� .�. . . .. .. "" '__ " . _ . <br /> � Ccj✓C, �/��` c.�.lL�� n:/ �•/� �i/ /�.�STi��G/� �'� - �� <br /> /) ' <br /> rf��'l'G� 4 i� �^ " �Ile.' . �� ...._ Th' � 1 <br /> J�. K /S y, � � �ii/G DFF ,% — 5T /-St-ii�i/�> S i�'/ � <br /> / �, <br /> . <br /> �� q � . � <br /> . . ; , <br /> • � /� . � <br /> �% <br /> i • ' • <br /> DRivE'•vav SECTION 71ie undersigned ou�ner hereby aprees ro holJ and <br /> NO SCA�E - � save harmless the City of Everett from any and all <br /> � —� claims for damz9es Uiat may,ari;�because of installa• <br /> ��I" LIP __ tion and main[enance of ihe �mproecmenl here[o <br /> I 30" I __ 30�� applied for and turther agrecs to iemove same upon <br /> t'--'t'- -- notice from the City and to replar,e public properry <br /> . da���j�ithcreby, <br /> � <br /> � �' - ' _�_— <br /> Si nature f Appliwnt L <br /> c�,�'��. �I 1 .3 �'/ 7 ��z,-.� ;.� -���/ 5�,� " <br /> COPY OP THIS APPLICATION TO Address �` <br /> I3� PG;TED OP!JOf3S1 TC. _�'y=y .`'�' �/p-- <br /> CA� L ENGINE6RING DEPT. 25��N811 ' Tclephone Number <br /> ---------- ,%� / ��— <br /> 2A h!OURS f3[FORE CONSI'RUCI'IOiJ 05te <br /> CHEt;K UST Fee , � s�' — <br /> Wa�or Vaivc • � - Dept. Ap��rovals <br /> Draindrye / <br /> Curb �u Gutter 6nyincar.���f�kt— -- <br /> Sidewaik <br /> - 1Vatcr <br /> S tr�et <br /> . Ccmnwnications <br /> Inspertor':Si9nature Traffic <br /> Planninq�_._. --- <br /> Datc � <br /> Rr.marks - -- � ---- <br /> Nutc: Origin;d to Ctutomer ---- ---- —' — <br /> 1 Cu�;y lo Filc i f (Z �'1 :l .--'-- —'- <br /> 1 Copy to liupr.r.tor 1 A.v .) P;-,pmve;l bY -----------'--- <br /> , �� i,, :\p��i��•:�J --- � - ---:- ------'_--' <br />