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everen l "`� u 1 <br /> U � <br /> Cil'Y•FNGINEERS ����-Z-v/ <br /> EVERETT,WASHINGTON PERMIT N0. <br /> TheUndersigned .�;41)7F.5 �� �- �JLf17•? �OL'�/!'JsOn f <br /> Herehy applies for pertnission to ��1"YI�� �Q i�i f�f"7��f�f' h'J'/ /Y��' o'S Cl C'Slr.r�b e c/ <br /> ? � •(.11. f7 � ,1 � ' <br /> At the following location ��C�� l"c�����`E P� �UPf'2 !7 /��=� �1'�'3 . ��'f� ; Lo'�" �7� �l/C�� <br /> .F�/I,ifS'IG/,�.f� %,o�.r,�.-C i �io ��n� ?n � ?y5 , tv ( /^2c'C7�c S f� l-li�c//�or O � <br /> SKETCH �- y,� ` <br /> (Worktobedone) ���G• �7���� '1 • l •-1"�� �' <br /> _ " .�V"" \ �J�,, <br /> tNs� <br /> �� <br /> � � � 1 C? � Il7 UDIG�F�� . <br /> / <br /> � � f'� 3 I' � O � �.i� �L% ,�P cd�!' �c�5�2 %?) E;/� �• <br /> �1 I <br /> � - <br /> v <br /> a <br /> V <br /> � <br /> Q <br /> , �� �„009 Per�h/e. /�/. . <br /> I �� �� �? � L, t/`/,%T i j Gc7� � <br /> �_ a � . <br /> �`�� � � <br /> �\ Z <br /> � � �--� po N.� «� �� 6 <br /> ., <br /> ���;�Psf p��-n��s�:��� �o r�;��ove_ e.ais���,� ��s�p/�/f <br /> lo�v��� r �rnrr, �G�n�-r1� si4� e -F C��r-�o�-� �i,ir.-ecvay �o /U�Fi� <br /> , ��-cf,. �/r' P� c�i�c7 fi��ni S�r�c�� ecr�•�6 (�n ����� e'/��`' of' <br /> 25��h��i�; l h�'>' is �� �r�v2» � :;v�f"P�� ��-on� ��/l,n� c�i� <br /> • o5�i/i�� '� � cI`r �lr� �l�� Ih-fp or��- c-�aaporf, Cv� s/� fo /�ndsc�j�.cz <br /> � �--�^ 2? /r�ste�7c! c� f �»vin �-� . <br /> ORIVEWAY SEC710N � The undersigned owner hereby agrees to hold and <br /> � NO SCaLE � save ham�less the City of Everett from any and all ' <br /> �• �D S D, claims for damages lhat may arise because of instaila- <br /> �I" LIP <br /> � �` �a tion and maintenance of the improvement hereto <br /> I_30"` _I- � _L3o"_I � � ��� applied for and further ayrees to remove samc upon <br /> r /fiY(/evGl- �ow TiCi notice from the City and to replace public property <br /> ��n�h//� 1.�,�,",�v� dam e thereby.' n /J r <br /> %�i}---GC�YlL.CLfYv <br /> �py,��o �yj�ofT Signa}ure of Appiicant <br /> V r�T�� ���. ��Cl,�" <br /> COPY OF T415 APPLICATION TO y Gw jd Address C., <br /> BEPOSTEDONJOBSITE. l`�~ G ��y �vri�n� CJn /ffO�-3 <br /> CALL ENGI��IEERING�EPT.259-8811 "`-S /T' / S Sff�� c� Telephone Number �_�G �-P�� � <br /> 24 HOURS BEFORE CONSTRUCTIOV ��'j�-.-(j?,�/�TGY �t� Date � Cj_ � �_ -�si <br /> �s f-Lf./ <br /> CHECK LIST �/pwt j7id�7Cjty- Fee <br /> Water Valve � � Dept. Approvals <br /> Drainage ��movC L�S��^�� <br /> Curb&Gutter ngineers <br /> Sidewalk �'�•�S;C-7C� - Water_ � � <br /> Streei <br /> ���j Jn���7� Ccmmunications <br /> Inspector'S Si9na[ure j Traffic <br /> � � � Planning <br /> -Date • <br /> Remarks 113 0 � <br /> Approved by -- <br /> CufTOMER Date Approved _ p � <br />