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�--� ��'PLIt:AI lON fC�i2 R{SFIi-0P WAY" USE f'ERf�41T 11:132 <br />-� ��,•��•.�n <br />: �L�� <br />�:� � , r.uci��t�izs <br />C`:i�li'tT�T.�VA:iHING�UN PERMITNO. %��—%'� - <br />i -- - <br />• �� <br />Tn,:�Unde�:i9ned.-1--!_t�_��.�-_�?_��l'=.C_""'(.�Z---/- -- - <br />�:. -�.�,� �i?Plics for rrmission tu..__ � ^� • . . . � -.. . .. _ ----- � - <br />t� 1%dr �—.z�r:t�> f�I:�1f � :; i _ �cf���L _ � '_, . .� . ^ uc r • 1 _ <br />. __r:_e_'_ FL./.1:�}�.-_._1�__ � ' __ <br />_ ... ' y _`_.__ _____ . <br />'" �]� �`� <br />� .__-�--__-___- <br />At thr tallox�inqlotation -- :!{� (�___ /�L�_�1___��:=L�y_� ��LrY�=.___- <br />` j ---- ------ ----- <br />�� 2- n C%�' C= c? — ✓!' <br />- - - --- _ _ _ -. . _.-- ---- --� -----� <br />-- ------13 - --------- - - - <br />si;iic�� <br />(«o�k ro bt done) ;. (�. .. -- ---- <br />i <br />' /: <br />- -;� <br />OFIVEWAY SECTION <br />NO SCALE <br />r-- - - -� <br />� ���_LIP_ �- ___ _ -_�� <br />�30.�=_=_.T.. . ___ �30"�f <br />� � <br />COPY OF 1'HIS APPLICATION TO <br />BE POSTED ON JORS�TE. <br />CALL ENGInEERING D[PL 253-RA11 � <br />24 HDUI: ; LiEFORE CCNSTHUCTIUN� <br />;HECK UST <br />Nater Valve <br />�rainage <br />:urb & Gutter <br />iiAr�valk ' <br />nspecior's Signaturc <br />latr <br />e�naiks <br />/ � <br />� � � , �, � ��� ���i. <br />/f �- <br />4r "2S <br />The undersigned owncr hereby agrces to hold anA <br />save haimless ihe City ot Everett from any anA all <br />r.laims for damages that may arise because of ins�.illa- <br />�ion and mainterianr.e ol the improvement hcicto <br />applicd tor and }ur�hr.r agrecs to icmove same upnn <br />notice 1rom the City and to replace public pionri ty <br />damaGed �he�eby./ <br />_ �..(r��z[y ,O=LUC_C.��es.�� � <br />Signaturc of��pl cant � -� ��- -- <br />� r �� 1����-�z�.• _�:. �_<i <br />Address � --- <br />3s-�-= �—% 2 u <br />Tclephon Numbcr �-- -- <br />�q q ; .7 <br />—!'"�. :a-� /�---�./-J-S------- <br />DaiF <br />Fec-.. _----- --- - <br />Dept. Appr�vals <br />Engmee�s------�----------- — <br />Wal, r <br />Strect <br />Communicatio�is � <br />� Traffic.. <br />F'lanning - <br />a�,,�<<,��d �v — — -- <br />CU6SCMCR f);rte Appioved . . ._ _ _ _ . . . . p <br />