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�� <br />��'" At'PLICATIOf� POR IiIGil1'•t)F�l���nt• usE PC:Iiil�IT <br />a"`�� rYCrrtt � <br />- �-.. ' .I. _l. 0 ( 7 <br />��; :� <br />cn�•[nciri�eres ' %7 <br />EVERf7T, IYASIiINGTON � PERh11T N0._�?� <br />—. �� <br />lhe Unde�si�ned �'._��i��r..�.;� .I �.tL�J3�`� . — ._ <br />HcrebyapplicsfurpermissiontoSj/��•; �j;l!'.=J�]=:S � !-)5Pl�f�—�� �y�r/ — <br />Al thc followinp Iccation _�: 2� �•}��1JSSG7_t�_��f2� —. <br />(Work to bc donc) <br />SGc' /aTT /�G/�.%n <br />%�.�e / S /� 77c1�7`c'' �vr�ls.f �/�w/]` <br />GL�6D �"'�/G'��rj-�o, �i'c%�� �j,�i7�i�� cc-l-� <br />� <br />. �. � <br />O �- t� r �, ;, � �' ..� �.�.� �` <br />rS� tisi�� /l� �,1�, t 7'�i... <br />�'�� 3�.�1� o,� ���::.���+ /.%ne �t.�.de. .. <br />—� f �.� ;I C... .v �e. 2T/'^'J�.�:e=�� p:,�i`' �" .':s�t/v✓/� i1._J.� 7� a <br />0.6��c'7''/n�v - . . � . . <br />/'f�/% <br />� /�� � . <br />/� <br />-�_ <br />� � DRIVE\YAY SCCTIOH <br />(� NO SCA�E <br />I --� <br />�_il" lIP ' � <br />�-'°'�-l--'-----I-'-°�--I <br />COPY' Of' l IIIS APPLICAi I0N TO <br />CE f'OSTED ON JOESIT[:. <br />CALL EhGIhE[FiIIJG D[PT. 25&8811 <br />24 I10URS ftE�ORE CONSTRUCTION <br />CHGCf: LIST � <br />1Vatar Vaivc _ . <br />Draina9c . . . • . . . . <br />Cinb fi Guttcr . . . . � . <br />Sidcr:alk � <br />I <br />� <br />Signatwc <br />1lcoiaiks----- --'— <br />IJnlu: Oiip�nal �o Cust�;mur <br />,�:�,,,,,,�,�;��, �:1.07�1 <br />1 Copy In inspeelnr <br />�� <br />0 <br />s <br />The undersigned owner heieby agrecs to hold and <br />iave harniles; thc Ciry of Everett iron: any and all . <br />� tiaims tor damages that may arise because of in�talla� <br />tion and maintnnance of the improvement he�eto <br />applicd for and further'agrees m removc same upon <br />notice fr n,ffihe,City�and to �eplace puWic proparty <br />damag �Uu�r.liy, <br />.¢-,�J� <br />�� <br />Siy �atwe of l�ppliCei t <br />iCZ�.i__��� l �?— �J��—;� <br />nda«ss ��4 .yJ��,,... <br />l'cleph�ic 'y�mbcr <br />_�5��-" �//~� C� <br />Datc � � �J� . . <br />n <br />Fccl'�.2 5 �' . . <br />Dept. npprovals <br />Engincers_� �����.�{� <br />Water <br />SUcet <br />Cotnmunications <br />i'I <br />n�,�,������i i,,, <br />Dal�� P.��piovrd <br />I <br />