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��. <br />Type or prin� clPerly wi�h mk <br />PRESS HARO - YOU ARE MAKING COPIES <br />PUdLIC WORKS <br />EVERETT. N/ASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION I�lO.3 H/ �JLUUL.T'20 �LU_� <br />PERMIT NO. A�- S(�, _ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />����� �u�-Y('✓�,,�-,� /� � � r;�•�-z-�� � ✓ � � /� � <br />/-�PPuc�i✓- �✓,« /�.�ra�,�.,�,,�� ,,�= iIr✓y <br />�/✓ %�G/f3L/C /2/b/rT Or /t�/%I. <br />2Arr � L ,D/.+-iX2n�in//s /J NO <br />L-iu.s.•� Dim,r.ds�.•>+S l�ouc.� <br />/iP/�uc�,— Cvivi /K.�.:� !j� <br />/2.4/4S Ci %/� <br />,g.� /at�oW2o <br />G✓yy^�.L F1 v,��v <br />�� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THiS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CdLL FOR lNSPECTION 259-851 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />OR�INAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />GOMMUNiCRT10N5 <br />iRAFFIL <br />APPROVEDFOR CONSTRUGTION onrE <br />APPHOVED AS CONSTRUCTEO onTE <br />CUSTO^:i�=R <br />ORIVEWAY SECTION <br />I" LIP <br />30'.�. � '1'30 '1 <br />T�e untler5igned owner hereby egree5 ta holtl and 5eve hermless <br />Ihe Ci1y M Everett Irom any end all claims lor tlAmages, cosis. <br />eapen:es, or causes ol nc�lon Ihal may erise becnuse ol mslall�pon <br />anC mninlenance ol t�e improvemenl or oihcr nghl-a6way use <br />hcrcto ap01�eA br antl Wrlher agrees to remove samc u0on nohce <br />Iwm Ihe Ci�y antl to replacC puDl¢ property tlamAqetl ��e�eby <br />�s �-� 7`j��`D <br />TELEVMONE NUMEER AUERNAfE <br />0� `' �r " �-, Y I <br />1 <br />�`-'`� 1 <br />\ <br />