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� i <br />. �� <br />CITY ENGINEERS <br />EVtRFTT,IVASHINGTON <br />The Undersiyned <br />liere6y applies fo <br />7�/ <br />PERMIT N0, r 7 �/ <br />e..e.., r,.u,.,..,..., i...._.:__ <br />�VVOfK 10 UB tlOOC) <br />(' h , . � . . <br />ORIVEWAY SECTION <br />NO SCALE <br />�---- -- -- ------� <br />�_il'� LIP -� <br />I - — <br />t';Q•T _ _. .l_ _ _ .. _— __— -_. 30"� <br />. . .� .,ir -i��.� i � :,'PL ICAi iC�fV TO <br />ht: i'��;TEJ ON JOBSITE. <br />, CF�LL LN;,!\EER!P;G DEF7. 259�SE71 <br />� 2�i HCURS 6EF0'E CONSTRUCTION <br />CH[CK UST <br />Nlatur V�Ive <br />Draina9e <br />Cmb & Gutter <br />Sidewalk <br />6upaetor's Signature <br />_ Datc — — <br />Hmn.�rks ��- - - --------- <br />��i �, - ' 'r' <br />L� <br />1L25� <br />The unJcrsi�ncd o�vner hereby a9rces to hold and <br />save harmless the Ciry of Everett from any and all <br />claims fur damages that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and (urther a�rces to remove same upon <br />notice.from the Ciry�and-to replace public property <br />. �damaged thereby. � - • � � <br />�__"•"• ,,. ;./i� -�,.-»':,//1;,. <br />, �� S�gnaaqeof,applicant ' � <br />% � . -�- � - �. � , �� �''.L. ,C...' ,j/.�/r � <br />Addrets <br />...--_ ,.� -'�� . <br />Telephone Number <br />Dept. Approvals <br />Eng <br />Communica[ions <br />ApproveJ hy <br />CU9T0}�gZ Dalc Approved <br />3 <br />•..^1' , �5.:', �. . .. <br />