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, , everetl � � 1 2 1 5 <br /> � <br /> CITY ENGINEERS - - �� <br /> EVERETT,WASHINGTON PERMIT N0. '� ' � � <br /> r <br /> The Undenigned ' ' ;_� , r: _ ` <br /> Hereby applies for permission to �� ��� � -� �� � ��' � � �� - � <br /> : <br /> . -- -- _s— � - <br /> At the following Iceation i).' �� �/1•� , l,• . /� ' ;r "`' ' "!.� _ <br /> - � � � l I �,. �._ /, i ' �l. �� ���.,. )-. �r <br /> SKETCH : ,i ; �� � <br /> (Work to be done) j '`�r� �� <br /> � ..,.� -�I\��� ,S � AJT �".'_`. - _ _ __ <br /> 't.'vtv; tii I�,:�. <br /> �. G loi+'ti i`�; -- ,r� <br /> � 7.S FT - - — <br /> � /�u,, `' ; <br /> � - � '� <br /> � I , <br /> � <br /> � <br /> � �. - <br /> �.' <br /> �' . . <br /> , <br /> �� <br /> �, <br /> OR�VEWAV SECTION The�ndersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and ali <br /> f.----- --� claims for damages that may arise because of installa• <br /> I" LIP tion and mai�tenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30" _ _�30'� notice from the City and to replace public property <br /> damaged thereby. � -1 <br /> Signature ot Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED UN JOBSITE. Telephone Number <br /> CALL ENGINEERING DEPT: 259�8811 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signature Traftic <br /> Planning <br /> ate ' <br /> Remarks � 1215 <br /> � Appraved by <br /> �'���\ . � Datc Approved � <br /> � ,C,�� FILE COPY <br />