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everett <br /> A„�, �r �; <br /> � �� <br /> CITY ENGINEERS PERMIT N0. <br /> EVERETT,WASHINGTON <br /> �. <br /> The Undersigned , �, ; � <br /> Hereby applies for permissioo ' ` <br /> At the following I ation � �. <br /> SKETCH <br /> (Work to be done) <br /> � ', <br /> 0 <br /> . ��c.S� �9 �` <br /> -�i:�b �>sy s <br /> ; <br /> „ <br /> , <br /> The undersigned owner hereby agrees to hold and <br /> DRIVEWAY SECTION save harmless the Cit•/of Evere[t from any and all � <br /> NO SCALE � claims for damages that may arise because of installa• <br /> f"- — _ tion and maintenance of the improvement hereto <br /> (i" LIP applied for and further agrees to remove same upon <br /> 30" _ _ 30 notice from the Ciry and to replace public property <br /> damaged thereby. <br /> Signature of Applicant <br /> Address <br /> COPY OF THIS APPLICATION TO Telephone Number <br /> BE POSI'ED ON J08SITE. <br /> CALL ENGINEERING DEPT. 259�8811 Date <br /> 24 HOUPS BEFOF,E CUNSTRUCTION <br /> Fee <br /> CHECK LIST pept. Approvals <br /> Water Valve <br /> Drainage Engineers <br /> Curb&Gutter Watcr � <br /> Sidewaik <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> —6ute <br /> _� <br /> Remarks � �1 �� � � C <br /> � \ � <br /> � �� -� c��^�-u Approved by <br /> 0 <br /> Date Approved <br /> FILE �OFY <br />