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_vcre1 . <br />' �I <br />CIIY ENGINEERS <br />EVERETT, WASHIN <br />The Undersigned <br />r��rLI�N1i0NFURfiIGH7-OF•VJAYUSEPERMIT ���(41 <br />�rr �v.' JER,o� /D,KTa �✓ �✓/�c/ �.YE[/.v. . , . <br />Hereby appli^s for permission to TiF/�F ��4�� .Z S�/JS�.6'/%f'� <br />At the following location _ I 3�(o M� d ro,� Q H- t� <br />(Work to be donej <br />PERMIT NO._ % S 'S 3 <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />jl" LIP—� <br />30' I I 30" <br />_ � i _—_.__.- ___--__ i —� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Wator Valve <br />Drainage <br />Curb & Guuer <br />Sidewaik <br />Insprctor's Signature <br />Remarks 11141 <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of instaila- <br />tion and maintenance of the improvement hereto <br />ap�:lied for and further agrces to remove same upon <br />notice from the Ciry and to replace,pub�ic property <br />Date <br />Dept. Approvals <br />Communications <br />Approvcd by <br />CU3TOMER ��le !\pplovCd <br />9 <br />