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1 l� 7�! ..,-�'� <br /> �ITY ENGIMEE-RS <br /> EVEP,ETT, 1'lASHIP�GTON PERMITNO. � �� � <br /> 1 � <br /> The UnJeniyneJ__ /��'" i•. '.�" "',-'. - �/ LlyF�r) ✓nn/�e <br /> Hereby applies for purmission to_�o/`!�TP?v r'-! /-� Z � � -�i ! � <br /> _ , <br /> At Ihe follo�vinp location �9.�� �i% �_;�! ���/, .�. . <br /> SKETC.H ! <br /> (Work to be donc) <br /> ,/ � � <br /> i <br /> i� <br /> , I � ti , r <br /> ' :_"_____.. ' <br /> �-_T_.... _.___ "' f •I._ ' <br /> y � I 1 <br /> ,\ � � 1C�IFr . i�('� �frl �.� � l� � .k�...-� � .( J�_rn '' �• �� � I <br /> ) � � ; <br /> C` ' I 1 i I � ' i i j iF <br /> f.: / <br /> \' • J _��/y � <br /> .._ � 1 � <br /> � z� /�S!'f'r,�/.7� ���� �� <br /> ID�'�`' ---- _. ..1.2''_' _ - - - --- � 7'� � <br /> � I I � I �� � ! <br /> � � ' � _ . <br /> , <br /> , � ,: ;,, , h __ .. ;.,. . , <br /> ,- <br /> _ , ,.� _ .. <br /> � � �-- ,. _ �: <br /> , . , -------- � <br /> --- _ _- , <br /> � .. .._------��_ . . _ . . _ �. -------L S <br /> , J _ _ q <br /> �� .�i <br /> ': �i <br /> v �� � <br /> � I ' <br /> , �^�� �r, <br /> - SPan.�.�, naw Cv+b � .� <br /> �.: • <br /> ck �ae clrrn,,.�i rvlr <br /> ti/�.n.'�rn�a0� �a.��/f�^p"% � <br /> Er� 1Nt��.(, r��n�..ys <br /> ORiVEwnv SEC71oN The undersigned owner hereby agrees to hold and � <br /> {�.� NJ SCALE save harmiess the Ciry of Everett from any and all <br /> i � -� claims for damages that may arise because of instalia• �� <br /> � �i^ ��p_ tion and maintenance of the improvement hereto � <br /> I 30 —�i I 3o I applied tor anA further agrees to remove same upon <br /> 1��--"i�� � -- - -�-----�--`}'�—�y notice trom the City and to replace public property i <br /> dam�agr�_ the"��reby/. � <br /> �_��'� fL�.�'�✓ <br /> S g ture of Applit�rr� � <br /> pv r,--� -�_ •�p.L!CATION TO � Address � . .. / � <br /> I BE a05;EC� O�l .iOBSi iE. � .'.r .� . ; ��ii' .�i �. . I <br /> � CAU_ t'�� ::'`lE�?tING DEPT. 259�o3i t i Tclephone Number , �; <br /> I2JHCURiBc�ORECONSTRUCTIJNI Date M�'�• :^� '� � , � <br /> . _____'—"_–" __ ' •i 1 <br /> Z <br /> CHECK LIST Fee �—��5��"l. /:.��;� 1��.l�! �'3i�,-�—`� � <br /> ' Water va�vc Dept. Approvals <br /> Drainage � . <br /> Curb & Guttcr Engineers p <br /> Sidewalk t <br /> -- � Water �. <br /> ' � � � Street <br /> _ i <br /> _ Communications 4 <br /> Inipector'sSiynoture • Tratfic <br /> Planning_ � <br /> -�te � <br /> Remarks t <br /> 1 .�.�6 � � r <br /> iy <br /> Approved 6y f <br /> r <br /> CUS76MSR Date Approved 8 � ,C <br /> r;. <br /> t <br />