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� F�PPUCATION FOR RIGN7-0P•�'JAY USE P[RiJIIT <br /> crcrc�i <br /> �'� � 11080 <br /> ��� � <br /> � <br /> CITY ENGINE[RS � <br /> EVEREIT,WASHINGTON . PERMIT N0. � � > S � <br /> ThcUndersigned,r�JP,�___�'�(,_f_�ri1__ ra_�iT',� � <br /> Hereby applics for pemiission to .CONSTiP�!.T �%- �p��qp/.r,•T-�7' f�1w'S <br /> � ' / <br /> At thc follov�ing location_.7�/oo� Gi.t.TO�t " � <br /> . ;� <br /> SKETCH . <br /> (VYork to be done) ' � . . . , <br /> sEE Ar.�1 eHG� � <br /> . • . �i� ?`o� Gr��l�?'/Yia� � <br /> , . . <br /> . � /�6 . <br /> • � /� . • . . . , <br /> . � ORIV[wAY SECTION ' . . - The umicrsipned owncn c�reby agrecs to hold and � <br /> _ ND SCn�E� • � � - save harrnless the City of Everett lrom any and all <br /> ��T claims for damages that may arise because of installa- <br /> � f' LIP � � � . lion and maintenance of the imp�ovement hcrcto ' <br /> applicd�for ard furthcr agrcci to remove same upon <br /> �30"�" , � �3� . - _ . . . . notice �pm tho Ciry and to re 11ice pubiic properry <br /> � � ' � � da gSd th�eby. <br /> � . . .. . ���J —� f //� <br /> / <br /> , � �gnature of /� p icant <br /> � ' � .2�i� � _�.��.. <br /> COPY OF TIIIS APPUCATION TO � � - � Addre:s � <br /> BE POSTED ON J06511'E. � 2.j J — U2�/ <br /> l�HLL ENGMEfRING D[PT.253�6811 � � �- � • � Tclr.phonc Numbcr � <br /> 24 HOURS EiEPORE CONSTRUCTION L�ate <br /> CN[CK LIST � , � Fee .j� � . . <br /> N'aror Vaivc • . . . • Jept. Approvals <br /> Draina9r. . . ' . . � • ' p . . <br /> Curb F(��nmr � � � � � � � `0ngincers_l��.�,.�:� . <br /> Sidewalk� . . . .. .. . . , . � . {Yater ' . <br /> :Veet <br /> Comrr,unications_ ' <br /> Inspcc�or'sSi�naturc � � <br /> Traffic <br /> � � • Flanning <br /> atc -- - : � . . <br /> ' -- — <br /> Rema�l:s . <br /> Nmo: Oripinal to Customcr . — — <br /> � c��,�� �o r�i� 110 8 0 — <br /> 1 Copy�to Inspcctar Approvcd by <br /> � . Ua�o Approved .� <br />