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� <br />CITY ENGINEERS <br />EVERET7, WASHINGTOfJ <br />The Undersigned � � �l , � c � <`� �• . .� �� <br />�� G !' i ! <br />Hereby ar�phes tor permissiun ro '�� �� ' <br />. _._.�.I.i;i..`1- � <br />'l�'",'-1;� <br />FERMITNO._ - <br />_ , . . . . .. ., .. � . . . I . <br />_ ! , <br />At the fotlowing Ixation 1 d /, �r � �i ��..�, ' � ( ; :�� '-;s. � , .P �, �;� <br />(Work to be done) <br />�. . .. � _. . .. . .ti,":.. JS.! .-,'';+.� �� �PY `=:i: I , ...�riY '�.' �"L�U�', 25...'I$��5..`�i,�i'P'71�=:•� r�.i�BR�d'(�Li�. <br />1 - �.Ir{�.y„�Y�:,�tha�.yF3 "i�:�:�+:��i� _a f�''.:'- ..'Y,��::tiC�,_��."�%:�.r£'1{�r�KG;i�S-,,,�i��.,:'S.3ec:-C�W'�.j��.. <br />���_'�. c. _ , . <br />, <br />,� i I �i �.., �(� ... <br />DRIVEWAY SECTION <br />NO SCAL[ <br />�—___ _ _� <br />+I" LIP <br />30' I —._ _�i'�30,'1 <br />T <br />ICOPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />� CALL ENGINEERING DEPT. 259�8811 <br />i 24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb $ Gutter <br />Sidewalk <br />��(� � ' <br />, <br />� <br />�- <br />Inspector's Signature <br />i <br />�� �5 -�7�' <br />ate — <br />Rem k / <br />IN$pE,^,TOR'S COPY <br />�fhe undersigned owner hereby agrees to hold and <br />save harmiess the I:ity of Everett from any and all <br />claims for damage; that may arise because of installa� <br />tion and maintenance of the improvement he�ero <br />applied for and further agrees to remove same upon <br />notice from the Ciq� and to replaca public properry <br />damaged thereby. <br />-�� � ..'7 -�' <br />Signatu e of ApPlicant <br />���� C` na .-.'� r-.,. R 1.� <br />Address r�T� <br />�- ., . .. + i . ? r, . . <br />Telephone umber , � �. � I�� �� <br />� 'T-v' 7 � <br />Datc ' <br />Dept. Approvals <br />Communications <br />Plann <br />Approved by - �. <br />Date Approved ��� ' � � , ' � �B <br />! ) > > .' <br />