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_,-��,.,-,-.,--__i __ __ _ _ _ <br /> - ---- ,. .. , _ _ <br /> � APPLdCAT�QN FGR RlGiiT-C)F-iNAY USE PERMIT <br /> cvcretl ' <br /> � 10830 <br /> CITI' ENGINEERS <br /> EVE�ETT,WASHINGTON PERMIT N0._�/� <br /> The Undersignee \f,�11.,1,.f A'!Y� �!}�%r'�N��_ <br /> Hcrebyappliesforpenois;ionto�fN.sT�('� /��_���n,� T f��w <br /> A:thc following locat;�an_ �J I� �FQ�y�_h'—�LYc���/ � <br /> � - <br /> ,KETCH —• <br /> I1Nork m be done) � � <br /> S�,� �1!:�3-��'`:::-!� <br /> �x �`'� Ci�,r1'`fas7`'. <br /> �� r�� <br /> �� <br /> ORiVEwaY SECTION , The under,igned owner hereby agrees to hold and <br /> NO SCALE � save hartnless the City of Everett from any and ali <br /> � � � claims tor damages that may arise because o!insrai!a- ' <br /> 1 i, Lia tion and maintenantt of the improvement berr.to <br /> I 3p•� __` _=�30�1 , ' applied for and further agrees to rcmov�same upon <br /> r —{ notice from the City and to replace pu6lic property <br /> damageq� thereby. <br /> _'�(! �ltit'sJ1 <br /> Sipnaturc of A�pni— —" <br /> E�G �_7"�.�;7j17d <br /> COPY OF THIS APPUCATION TO � Address �r— '— <br /> f3EPOSTE�ONJu051TE. � ��-3�� 6iT' <br /> CALL ENGINEERING DEPT. 259�8811 7clephone Number <br /> 24 HOURS 6EFORE CONSTRUCTION �-1g _7? <br /> Date <br /> CHECK LIST ' Fc�r,-e� � <br /> Wamr Valve � �S <br /> Drainage DeP Appr'o�vdls <br /> c�,n&c�tc�� • � � �� l Z�ti..r� <br /> Sidewalk �� En^ineers_. i <br /> – Water ' <br /> � Btrcet <br /> � Communications <br /> Ins�.iecmr's Si�naturc <br /> Traffic <br /> Flanning <br /> at6 e-- <br /> Flemarks • . _ <br /> Vote: Original to Customer <br /> 1CopyroFitc 1 � 830 � . <br /> 1 CoPY to 1nsP�ctor Approvr.d by . <br />