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e� <br /> �,. . � _ . .. . ; - .� . . . __ .. . _ _ . . _ <br /> APPLICATION FC" RIGHT nf !'!'�Y.U�' "ERMIT <br /> ,••., �,.�, � , . . <br /> � _ ,. .. . . � � <br /> CITY ENGINEERS '�� 3�j1 <br /> EVERETT, WASHINGTON �r PERMIT N0. <br /> TheUndersigned'� ��Ml"� � � I'�y � �z � <br /> Hereby applies for oermission co C o N ST2� e T �"�3 �%N C�\�%1 L' 1 � � �= � � • h <br /> • I <br /> At the following laatioo � � � T� <br /> � z3�o� , <br /> SKETCH • �`��p " <br /> (Work to be dane) - � " �� � J - <br /> . ..; � � <br /> • ��''yY. �.� ' . . <br /> . �I�F� � , <br /> � I�.� tb G'orr�7�..0� • � . <br /> C_J' ��,/ve� ��� <br /> /d � ° <br /> � ��� /�� � <br /> . ., <br /> • ' ''♦ <br /> 0 <br /> � � CoµC(ZEi 4 <br /> .. ,. <br /> . . DQ�J�w�;Y <br /> . • phlF L. LINCs , <br /> pRIVEWAY SECTICN � . The undersigned owner hereby agrees to hold and <br /> NO SCaLE� fa.�e hartnless the City of Everett from any and all I � <br /> � clains for damages tha[may arise because of installa• <br /> �— +'„ �P tion and mair.tcnance of the improvement hereto � � <br /> � applied for a�d further agrees to remove zame upon <br /> �„30'� 1 -� 30��-� no[ice from the Ci nd to replace �bTic property .� i � <br /> � r � � damaged thereby. . <br /> 0 <br /> � , � . � Signature of App ica t <br /> ' /' .3/ ncF_ Sr • <br /> COPY OF THIS APPLICATION TO Address Q , /� <br /> BE POSTED ON JOBSITE. . , �.J���-�% V UC • W,4 • <br /> � ' Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 7�(J • � � �'3':. ! <br /> 24 HOURS BEFORE CONSTRUCTION Date � <br /> . C�, ia.� 7 � � �r.sa <br /> CHECK LIST Fee ./��[_� . <br /> Water Valve ' . ' • Dept pPr�IS ��l I <br /> Droinage � � �.G�l�'rC.-� <br /> ' ' Engineers �� I <br /> Curb&Gutrer • <br /> Sidewalk . , � . ' � Water <br /> • ' Street ' � <br /> Cammunications � <br /> Inspector's Signaturc Tnffic <br /> . Planni�g <br /> ate � <br /> Remarks <br /> Note: Oripinal to Customer , , " t <br /> t Copy to File 10 9 4 6 <br /> 1 Copy to�nspeetor . Apptovcd 6y <br /> • • � Date Approved �� � <br />