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f.rt'+'� .._.. ;_i.;�...:=.ii1'�.,.�-�.•;;`, ..._1�:.. ..� <br />�., r. � I <br />� ..�i.. <br />, i t :� <br />CITY ENGINEERS <br />EVEIiEI'T, WASIIINGTON <br />� <br />; <br />rE�Mir No. 76 — / 93 <br />'ihe Undersigned a�.GLe ( � C � � �Q-n <br />Hereby apPlies for permission to r ply c f r c� e t n 1? _� AS n l, a/ F D�w 2.q <br />r'F.. R-n-Lt/ <br />At the follcwing location <br />SKETCH <br />(Work to b,: done) ' � <br />✓�, � l <br />. <br />� / ��r _ <br />4';: �, <br />�ytl.. ,.. ; <br />� � '�41r�.42,},: <br />i�� <br />,� ;,.�-• <br />C� ��„��9 <br />g� f � �r <br />i hzPhO� <br />\ � ` X I �� <br />�- �/ M�1c1LT E <br />,, <br />' � }- � <br />��°'/�� <br />�- e / / � <br />r <br />DRIVEWAY SECTIO� <br />NO SCALE � <br />� zl� <br />` i 1'� LI� <br />30"�I., �— �–i 30 =' �/L <br />COPY OF THIS APPUCATION TO <br />E3E POST[D ON JOBSITE. <br />CALL [NGWEERING DEPT.259-8811 <br />24 IiOURS F3EFORE CONSTRUCTION <br />CHECK LIST <br />VJator Valvt <br />Dr.iina9a <br />Curb & Gutter , <br />Sidc�vaik <br />In:pect�r's Signaturc <br />Remarks --- � <br />Notc: Oi��inal to Cu;tomer <br />1 Copy tn I'ilc '� ��i � 7� <br />1 Copy In Insp��r.tor <br />/- �,�a.,�•� <br />E'�9" / 2 I <br />.- '� �R�>k-T`ii <br />L,,� v i <br />3902 <br />—�— <br />Drauin S�J <br />�Gp:i<,Q ?,/:f/7C <br />�_ z J �- 7c� <br />�, .�`. � <br />� <br />�(�1 V <br />5 •' <br />/V�� Z�: G �..� � D�u.J <br />' r�t �J E.A-� �1 pn. � o <br />s ��nw�-nr� ,�va r�J-r' � <br />� cY�l/"J Dl�iL�r,(;ly /y�.4.C'S <br />i <br />_ _. ___._. � .'��� i <br />Theundersi�ned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all . <br />claims for damages ti�at may arise 6ecauze of installa• <br />tion and maintenance of thc improvement here[o <br />applied (or and further agrees to remove same upon <br />notice trom the City and to replace public proper[y <br />uate <br />`�/O,S� <br />Fcc <br />D pt. Approvals <br />En9inccrs ���y' �� � <br />1Vater ,�� /�1!/�r• C�2��—.y{�-- <br />S Vicet��.,..da <br />Communications__ <br />Tratfi���r�L��+-��_�'✓ � 3/�7G <br />Planning—�'..�-Z � ���'�^.�'— <br />.l. . V . �� o�w �..a �.--=-� <br />/\pprov�vl by <br />Date Approved <br />