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� <br />everett • <br />e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for pertnission to <br />At the foilowing location <br />(Work to be done) <br />APPL <br />DRIVEWAY SECTION <br />NO SCALE <br />r-- -� <br />� +I" LIP <br />�.30 -.__--__-_�.•30+� <br />COPY Or THIS APPLICATION TO '�, <br />BE POSTED ON JOBSITE. '�� <br />CALL ENGINEERING DEPT. 259�8811 II <br />^4 HOURS BEPORE CONSTFUCTION II <br />CHECK LIST <br />Wator Valve <br />Draina�e <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />�1� n ^� <br />.�. _. G� � <br />FOR RIGHY-OF-WAY USE PEF�IIRT �,1 `z $$ <br />PERMIT N0. <br />The undersigned owner hereby agrees to hold ;,nd <br />save harmless the City of Everett from any and all <br />claims for damages that may arise br.cause of installa- <br />tion and maintenance of the improvemen[ hereto <br />applied for and further agrees to remove same upon <br />notice from the CitY and to re lace public property <br />d�rr a ptl thereby. ���j��� j�) <br />Dept. Approvals <br />Communications� _ <br />Trzffic <br />Planninn <br />Approved 6y <br />ct! �TotAet=. Date Approved <br />3 <br />