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- iarr�wr�sw�vr�nn��n�-ur•vvHruxrcttrvili !. . _ .. .� -._,;;.;r;;�-'_.: <br /> t�erett � 10607 <br /> � �.. <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. '�6' �Z� <br /> TheUndersigned ��nB�t �.✓ i�..�,anon <br /> J� <br /> Herebyappliesforpermissiontof.,S�v/� .�S a � S!� ��o.,, T/e � <br /> At the following location �3// �e�ov2s S" S tra^f <br /> SKET�H <br /> (�York to be done) . ' <br /> I <br /> � � _ <br /> � � ;� .�✓ 3s' �f <br /> �^ �'� i /= <br /> f � _ — _ — <br /> „� � <br /> � <br /> �'"�^ ( 631/ <br /> �� . 6'; , <br /> � LL � <br /> t�'s�,�91e � <br /> ca«b <br /> �45�n <br /> � <br /> 1 <br /> Z <br /> - � <br /> c, ': - <br /> �i'. <br /> . � _ <br /> DRivEwAY SECTION The undersigned owner hereby agrees to hold and <br /> � NO SCaLE� save harmless the City of Everett from any and all <br /> claims for damages that may ariu because of installa- <br /> +i" LIP —� . tion and maintenance of the improvement hereto <br /> applied for and further agrees to remave same upon <br /> �o'� I 7 30" � notice from the City and to replace public property <br /> d d thereby. ' �e <br /> Signature o pplican <br /> l� %'ii �� -�,.� � <br /> COPY OF THIS APPLICATION TO Address ; _ <br /> BE POSTED ON JOBSITE. Telephone N�ber �` ��� � <br /> CALL ENGINEERING DEPT. 259•8811 - <br /> 24 MOURS BEFORE CONSTRUCTION Date /,��, <br /> CHECK LIST Fee r�F� � ' <br /> Wacer valve Dept.Approvals <br /> Dreinage <br /> Curb&Gutter � Engineers <br /> Sidewalk Water ti � �C���`SC .� <br /> /� . � Stree[_i{/-..__ � , /' <br /> �r . � (/7�✓,./1 ' Communications � -� � -r�ec.-�✓:/��., Lirr. <br /> nspector s Signature Tr�ffic ��// ' � <br /> Planning ,���1 <br /> /��i 3/�i. � /��•C.Tuavi�-•�:�. io <br /> ��—� }-� �P�- Lv�•/� <br /> Remarks <br /> Note: Original to Customer . �..,— <br /> 1 Capy roFile 1�s�7 � • "_ J. <br /> 1 Copy to InsP�tor . " , Approved by. � �--� "'�,�j ._�_„ <br /> • �'=�.�- �.f...�.�„ lD �:3 y(/ ,.;-. <br /> ' - ' Date Apprrned ",'� <br /> ,.... _. . - t,;_;;:, <br /> ' -� . .. . ._ . ..3:i�:�,T.r�;a' <br /> ' ' <br /> � . . ., �. ..: .. . <br /> - .^,..�--�--..�—.�•�—�-, . _--•--�"__'��._�_�..__ ._�._-. ' .�_..1___�-_�� <br />