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LC <br />�j <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />PERMITNo. 7 G - 1S4- <br />The Undersigned i- <br />Hereby applies for permission to C o n 7 �-r u ca <br />At the following location_ J 6 3s?'7 O c c{tn w e e <br />(Work to be done) <br />1 No Scale <br />DRIVEWAY SECTION Drawn b i <br />NO SCALE�.� <br />rL— Z S' _--� 7-13-74 <br />III \ +I" LIP <br />i 0•� I — _1 30.E <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 258-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />Note: Original to Customer A ^ ^ <br />T;ie undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hmeto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />d m ,+ed tile <br />�/•-�- <br />Signalu olAppli ante <br />Address 7 V G 7(e F/c <br />Telephone ul Ior <br />,i17 4 <br />Date <br />Fee <br />Dept. Approvals <br />Street_— -- <br />Communtcati .r.s --'� <br />Traffic -� C -7 <br />Planningi - � � --f I <br />