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Type or print clear,p v ih nk <br />PRESS HARD - YOU ARE �Ai:KING COPIES <br />PUBLIG WOfiKS <br />EVERcTT.WASHINGTON <br />APPLiCANT (UNDERSIGNED) AND FIRN REPRESENTED. IF ANY:__ <br />i� � . . � �'�.:�/ A�� � � <br />HEREBY APPLIFS FOR PERMISSION TO__ ��,�� ��� -���!/ V — / <br />Al THE =OLLOWING LOCATION <br />i ? �i /� - C <br />i <br />PERMIT NO. �� �` V 1 <br />-Ylir" L� J,- 4 <br />DRAWING (WOFiK TO KE C70NE) OR THREE PLANS A7TACHEO: � � <br />/�,Q �-�}- ✓ <br />�� f ,„ � � � W�-4-�-Ci �1�� U ti t' a ��_i�� � - ._ �K�tnni�� � � � �-ti�-K%.-ii -C��"�r-C� <br />��i_.,. / � <br />�(, � �,4,K.'L�,w� L(��-- `T,, c`-,�t%-,,; �.����.,.J� ,�!� � -u�=�-= <br />�.�G �,',a L ��-� Q ��� <br />IS�RM'1'►T IS V/ALID FOR 60 DAYS <br />COPY OF THiS� ARPLICATION TO BE POSTED <br />ON ,lOBSITE. <br />CALL F�DFi INSNECTION 259-881 1 <br />24 HG�URS BEFORE CONSTRUCTION <br />DEPARTMENT APPROV�LS <br />DRiVEWQY SECTION <br />�— jl'� LIP __� <br />�30�� T �30,� <br />The untlersigned owner hereby agrees to hold antl save harnless <br />R�e CIIy ol Everett Irom any and all ueims lor Oamages, cosis, <br />crFenses. or causes of aciion Iha� may anse Eecause ct installaLon <br />antl mam�enance ol Ihe improvem�nt oi ol�er nyl�.bol-way use <br />he�eb 00PIietl lor antl (uri.^er agrees lo removc a�me upon not¢e <br />Irorn Ihe Crtv ana to replace puAhc pmper�y Uamagetl Inereby, <br />SEWPR COMMUNiGAT:ONS ��������( i����.�IIIF � (FL'C�I^'I <br />DRGINNGE iRAiFIC / � � � <br />��� �4� �I � 1 1� ��! <br />I' I � t�� (l /-,'" � —r /,l�/ /�-� <br />WATEN PLANNING \ 51 �URE �APPLICAN` <br />�•%�cJ %'i� ' ' /f 4`%C C <br />s�nEEr <br />--eSc� i> �� nooHess f <br />�I ;, <br />i �;[ �t".f ;' � ! J + < "� � <br />(���� C�',�•` 7�i�.''.l7 y(� Z 1�'7 1 ziP ^ <br />A P OVEO FOR CO TF CTION DniE .It�nJ ?�?ll:�lY Ji!�J�- .� �� . L � ` � �-���-- `J � � <br />TELE°��ONE Nl1M8ER ALiERNAiC <br />� i -; l��% � <br />APPqOVED AS CONSTRUCTED F�TE <br />CONSTRUOI"ION/ASBUILT �e_ 1g78 <br />�� <br />