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, <br /> � ��� <br /> '����s nT'io F q a-0 wA us�M T � 113 61 <br /> e �_ Zsz <br /> I:ITY ENGINEERS PERMIT N0. <br /> EVERETT,WASHINGTON <br /> The Undenigned �_- <br /> Haroby�pplies for pertniuion to�� �,� � ' <br /> At tM1e followinp location_�2 ��~ L � " <br /> SKETCH <br /> (Work to be donal ��� �L�IJ sNEc r � � z• � �-.- <br /> F�1�A LE`�' / M k if'��{E W S <br /> 1,7AT�`� 9�tg�(� �/�/)., �� � <br /> ���sed lD�S I�! ANu-�"`� • <br /> r � i <br /> '���t 4 • _A � � <br /> f tti �; � <br /> y. f <br /> : ' i <br /> I ! <br /> t <br /> . . ..,�X;� f <br /> I The undenigned owner hercby praes to hold�od <br /> � �� ORivEwnr SECT�ON save harmless the City of Evrrett from�ny and�II i <br /> NO SCAIE _� ' <br /> � cleims for dameges that may arim bec�uie of instnll�• <br /> . ' tion md maintemnce of the imprwement hereta <br /> � r� �f' LIP �� applied for�od furriier egrees to remove s�ms upo� <br /> � y�„ � 30"� notia from thr.Ciry and t/o�roplace publk property <br /> .. .-F .. 1"".T_-_—_ d ihemM'.� lh�.�— � <br /> n <br /> . ' � I�ZS �f�pp�N/(t [` �� <br /> r{I /�4!� �j� C�/`� <br /> � - Addross <br /> COPV OF THIS APP�IC.ATION TO asZ- �6�,� �7" 3�C� <br /> ( BE POSTED ON JOBSITF Tele one u ber <br /> CALL ENGINEERING DEPT.2&9�8811 ��' <br /> Date <br /> i 24 HOURS BEFORF CONSTRUCTION <br /> J — � -- <br /> � CHECK LIST p�pt, qpp��t <br /> W�ar V�M <br /> ti DnMaye <br /> 1 Curb 6 Gutter Engineers_— <br /> Sidewalk W�ter � — <br /> Street — <br /> Communications <br /> Inspector's Siun�N�e <br /> � Traffic <br /> a�' Planning <br /> — �lu <br /> -�M <br /> Remarks Y <br /> 11361 � <br /> ^ Approved by <br /> GUSTOFiRR Date Approved <br /> ��/S/� , <br />