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EVERETT; WASH. <br />The Undersigned <br />Hereby applies for permission <br />At the following locction <br />SKETCH <br />IWork to beldonel <br />.7 :-. .- <br />lo ^rl.�l�''" %– <br />_ – f�JAf?I_-;� � <br />� ., <br />MA�i_,., ��T <br />The undersigned owner hereby agrees lo hold and save harmless Ihe City of <br />Everett from any and all claims for damages Ihat may arise because of the <br />installation and maiNenance of the improvement herelo applied for and <br />further agrees to remove same upon notice from the Cily and !o replace all <br />public property damaged Ihcreby. <br />V.fi�i•�e±�Y. -.::SEC'�l6Pd <br />(NV'�-SCAL�� <br />" 30� <br />�r ��� ��.,_._. __.. <br />��` 1,_�, ... _�'•.;�:�!' <br />t' '�.. <br />Inspector's Signulure <br />Dale <br />Remarks <br />Approved By <br />Dale Approved <br />�� <br />� <br />j0' / ' ��� ' ^c' —' <br />� \ : "` � -. /.Yj �__ _ <br />�\�__'I. � – , <br />– I <br />� <br />—� _ <br />Q <br />0 <br />�� <br />'fi:;:i <br />URI'.'L•CJAY &ECTION.__:" <br />�'------ �'�{ <br />.__ . __...._._ <br />l. 00° <br />� .._. _. _ __.__ W <br />_..�. ,_ . ................__-- <br />,,;: ,' 1 <br />�_.:. __.. � <br />� —,.__.{i.1n Sa�le�.� <br />'_.______..___. <br />C;,II Cn;:in�;.�in:', G�;;:L �.,_ �_.,., <br />^4 Nours 6��tcre <br />cunstruction is sta�ied. <br />� ' F�l�TE � <br />CFIECK 4VITH VJATER <br />i�EPT. FOR WATER LINE <br />' LOCATIONS BEFORE EXCAVATION <br />Variance Required <br />Yes....... _......_. _. ..... <br />No._.__._.._._...._.. <br />t^1 i <br />� ` �_ .�- 1 \ �� � '`( �,. <br />7� S N, 1 �f �� `f-�-ti <br />aad��� � . <br />��� '�� � e 1��;�;�,� �(`; � 3 <br />,., c�S ��-2 <br />ielephone Number <br />Dafe <br />S ��� F��� <br />Fce <br />DEPT. APPROVALS <br />Engineers <br />Walcr Li-cr–z.. �-�i." <br />� <br />Slreel —�� - <br />Communicaiwns ����G`f <br />Traffic rA' '%7.�,� ��9f1/ <br />Planning <br />i PROVIOE FOR I <br />: Pfi�JPER DRAINAGE <br />