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Type or print clearly wlth ink <br /> . PRESS HARD - YOU ARE MAKING COPIES <br /> PUBUC woRKs PERAUT NO. '1 ��' "' <br /> EVERETT.WASHINGTON -- �`� <br /> _— "� <br /> APPIICANT (UNDERSIGNED) AND FIRM REPRESENTED, If ANV: � <br /> HEREBY APPLIES FOR PERMISSION TO— , <br /> � • <br /> � � .;r � / �- <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PIANS ATTACHED: <br /> �l _ .. <br /> �L ! !� �. ; Z � � <br /> �- , I <br /> � � - ��� " � � <br /> _ � , � <br /> I��� Q I J /\ ,� � / <br /> � <br /> � <br /> I <br /> � - � <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID �OR 60 DAYS � ---� <br /> COPY OF THIS APPLICATION TO BE P0�5fED'� ` ' ' +'i" 'LIP� ' � <br /> I ON JOBSITE. I j_o�� _L3o_J <br /> CALL FOR INSF'IECTION 259-86� 1 �' <br /> i 24 HOURS BEFORE CONSTRUCTION + ; undersigned owner hereby ngrees 10 holtl end save hermless <br /> Ine Ciiy ol Everett Irom any antl all cleims lor damnges, cosis. <br /> � e�penses.or ceuses ol action Ihal may arise because o�msinllabon <br /> pn0 mainlenance ol lhe improvement or olhei ngh4ol-way use <br /> M1ercin appheC lor anG Wr�her agrees to removc same upon not2e <br /> Irom the City an0 lo rep�ace pu�lic proVPrty damaged Ihw>Oy. <br /> DEPARTMENT APPROVALS <br /> �: ,•1. <br /> -.\F"I i.l � <br /> ,...._�;'� , :� ��'r_ c� � j, . / <br /> SEWEP LOMMUNIGATIONS . ._.� � / . j' // <br /> t �(/sJ////) /� (.///// <br /> OPAINAGE TRAFfIC �(.t� �";/''���% '/�'�."' , � • V�i(j"�_ <br /> v <br /> PLANNING 1���,� SIGNATUAE Of AOP � N T � // <br /> � WATCR � -- � � ', i� l� . _.��!/��)r^� <br /> �i. �'`�i' i?�. ,�. �i. / <br /> � ,_ ' . ��':FUONE55 //� ,% .�/ <br /> STREET � .• �� � j _ <br /> � ZIP <br /> GITY // <br /> OATE � �' .� — I�l(,C� <br /> APPPOVED POR CONSTfiUCTION rEtEPrO�+�NUMBER � ntiE��+AtE <br /> I / � / 1 / <br /> I onrE onte / <br /> qPPROVED AS CONSTRUCTEO <br /> � Ib:� i�l,'�.IJtvSP,:.;l�!J; � ;�,rl'tU[gl�!� �e� 1978 <br />