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t V V <br /> CITY ENrINEERS <br /> EVERETT, WASHINGTON PERMIT NO. '' '- �i "7 <br /> The Undersigned!� �._ ` > ' � . <br /> Hereby applies fo:permission to_� '�-�' : .___ "�;� �� = i j`;.. <br /> / <br /> At the following:oca[ion_ : . � ;. !. .---, i� _---- . .._ _ , <br /> SKETCH — <br /> !Work [o be donel <br /> :�`. .-�- : ;�L�r-' �' �� <br /> DRrvF1laY SECTION The w'iders�gned owner heraby agrees to hold and <br /> NO SCALE save harmiess the(,iry of Everett irom any and all <br /> "'— - -- ---� " -� claims for dama9es that may arise hecause of installa� <br /> �p� �ip —J� tion and maintenance o( the improvemen[her�to <br /> applicd for and (urther a�rees to remove same upon <br /> 1,�30�_ ___ I 30"^I notice from the City and to replace public property �' �. <br /> —yt. <br /> da-nacedihereby.�^,, ��-- � <br /> '.-.-�t.a,.-�' �'� '�.. it� ��i-. <br /> � Signo[u�¢o Apf plicant S �—��— ' <br /> � ::�i _ � - <br /> .%i`"1'q1 ri �(l h,/�� l . <br /> II COPY OF THIS APPLICATION TO ' Address � f/ �7 � ���/ � <br /> BE POSTED ON JOBSITE. - ; -, � � ' <br /> T�,lepiione Number � -- <br /> � �, ��f�LL ENGINEERING DEPT. 259�3371 ' - �: ; � <br /> . ' i�t,URS i;GPriRE �:OfJ��RUCI ION� Date ' — . <br /> . . - - - � � � . � <br /> � CHECK LIST Fee <br /> � Water Valve Dept Approvais <br /> Drainage , � <br /> Cm�b&Gutter , . ' Engineers_�__.._, _ <br /> Sidewalk <br /> Water . � � � , „ <br /> Strcet , /�'�� � !-� t � � <br /> _._.___ Communications i <br /> Inspector's Signature <br /> Traffic <br /> -- � <br /> Planning <br /> �te _ _ % _ /_., :;;,., <br /> �i i_ <br /> Ar.iriarks � <br /> PJote: Original to Customer �- <br /> , �o�Y �oF��� 10�07 <br /> i Copy co �nspr.ctor ApProved 6y <br /> Date Approved <br />