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��.�..ri•'f � <br />J,"-:� i <br />J <br />CITY Ei4GING[RS <br />EVERETT, N.'�1SFIINGTON <br />t .! V I L V <br />� -) 7 <br />PERMIT P�10. � / ' � � <br />._, -,1'... .�_., •,:tis. <br />The Undcrsi9ned :� % . r'. f ., !.: �� ., --- --- � _ _.. .. . � -� <br />/ `/.�!�G�� �/. '-i�1.1_ � �1� !. . / SOU�:.i <br />HerebY apP��es tor permizsion to ���; r��� —' '' "- I <br />�i 1; . � �t �', ).� � __-�•r:; ( � �-"f � c-tv 5 n i1�✓f�.r l% <br />/�✓ � -/;/. �,!•= I. ,•r r., :r... f µ,. �,.., <br />c-. ' � - ts_[�C CY t.� :js:•��1 <br />Ai thr. tollo�.vin9location_;-� 5�'�>_ -' � Z�'� ^''��"� " <br />(LVerk to be dane) <br />i <br />- �; t' . . �-� <br />ORWEWAY SECTION <br />— NO SCALE � <br />�-- � <br />�—jl'� LIP <br />l_30�__ F _ —.}.30 � <br />r- <br />� M�ee � p�/ C�... ...... . <br />� <br />GO�•'� OF THIS APP�ICATION TO <br />P,�!'CSTFDOi7 �OO�ITE. <br />CALL ENGIPI[EkIPdG DEPT.259-3577 <br />"l.�l 110U�S F.EFOi?E CO2:STRUCTIOPJ <br />CHECK LIST <br />N'at�v Valve <br />Draina9e <br />Curli & Gutter <br />$idetvalk ' _ <br />Inspectoi's Signawre <br />-Dat�i-- <br />Rcmarks <br />pJo;c; priginal to Customcr � n <br />1 Copy to File � fj j�� `) <br />�'Coity to his;)ectnr <br />ilm undersicncd uwner hereby a9rees to hold and <br />save harmless ihe C�ty of Everet[ from any and all <br />claims for damages thnt may arise beeaose of installa� <br />tion and maintenance of ihe improvemen� hereto <br />applicd for and fur[her a9rees to rr,move same upon <br />notice from the City and to replace public properry <br />damaged thereby. <br />�'1-.n P�:..'..�;.I'^ -- <br />Si9naturc of Applicani <br />P�l 1• - �rn 7..1.G_ r1..i�.- ..' '.:n' __�J_' <br />Address <br />_�:��".=�' �'-',`� — <br />Telephone Number � <br />� ' '' �L ;�4�: -r:'=e1i.—''.=;�' . , <br />Date" �' <br />;L.L9—P _. — <br />Fee <br />Oept. Approvals <br />o� �• %77 <br />� <br />Enc�ineers_�?�x " � �� <br />i � � ) i, <br />�Watcr G,.����i �/. i�� �., ,./• . <br />t �: <br />i <br />:'L% a�j .' i 9 <br />�� Streot��•'�.�s� —� <br />Ccmmunications - <br />Tratfic_ <br />Planning ., <br />� c ' <br /><c��r���.r..n /�' ... �G�.� � <br />.��_, <br />Approved by <br />Da'r !�Pln�r:ed <br />