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i .�...�_� . <br />,..F. , . . <br />,�e.0 \ ra � <br />�e-"" � • 1/�.A �� . . <br />' Y i <br />fl�' EN�I�vEERS "'�, ,i 4 � ^7 � i <br />;<vi :iEiT, w.�SHINr,TON "%r � PERMIT N0. / a �G, <br />i hx U��JurciqneJ _ C�'����_��.,�Sl LG , <br />Hereby applie� for purmission to r�•,�/':' �' c. r-r- /-1 ? S_�*_f,� p/.. �-� � ��� , , <br />' 'T _ <br />At the followi�ig location <br />(LVork to bu done) <br />/ fo:Jr U fo <br />mux�L;z� dc f/f7 <br />DRIV�H4Y $ECTION <br />NO SCA�E <br />�_— � <br />I <br />� i Y: lIP �� <br />i--' °��-- - f------. }�'--� <br />� �G^l' UF TNIS �.'�'LICA�TION TO <br />; F.E POSTED Oi9 JOBSITE. I <br />CALL _^1GINEERIMG DEPT. 25&B817 <br />24 HUilRS BEFOr�E CONSTRUCTI�N <br />r_' - ---.� % <br />{-CF!ECK LIST ��C 0 R+�R��£ <br />I ,'dete: Valve � <br />i•----: ./ ` <br />�.�r.ir.a9` �.-. 7-, e''a p <br />}'; <br />� Cur:� & :�vir_r <br />rsid��.-va�4. �� l�-� �,'� �J. <br />`-- � --- <br />�� �� / / /� <br />_���Cr4�`�Z//��/�-_ '�-7 <br />Insp�ctor'sSignacare <br />�i _./G� -%d <br />_ ,i-. _ <br />-Dai� <br /><<..-.i��!<: <br />�� � � � <br />�t_ . ., .( o�. -.- <br />r v��ec�; s s: ��-,__ <br />_�. 1 � .L � <br />S��:� <br />w��� <br />The undersigned ownar;hr.re6y agroes to hoid and <br />save harmlets t:�e�ity of Everett from any and al� <br />ciaims for damages that may arise !�ecause of installa- <br />tion and maintenance of the improvemen[ hereto <br />applied for and further agrees to mmova same upon <br />r.otice from the Ciry and toxolaca ou6d� IS�,..,,,. <br />�V�l3f�/l %i4..,����lJ�%,j' <br />Address I <br />�_, <br />_..�.� 1 '!J' <br />Telr.Ehone Number . — i <br />�.Lv���1 14>.�' <br />oaie -- <br />. � <br />Fc�� --- <br />�= � � <br />C}ept. Appruvai� <br />Engineers_ _ `� <br />�Vater � I <br />Coinm;:nications___ <br />Approv��l by <br />r <br />~ CL'6TOM£R . ---.— _---- <br />Date Appr,:v^d 3 � <br />k�. � -L <br />Y r'. ...� ••:..•.' ..L�M'^ ,��'T1 y.�l'- 0`FI. fi'ir ,We.l����l <br />