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c�'- APPUCATION POR RlGHI'•Uf=�S1'AY US'c PERAIIT � ( <br /> vcrcit <br /> <�� 1y07� <br /> ��.� � <br /> � <br /> CITY INCINE[RS � ! <br /> [VER[TT,V"lASHINGTOtd PERMIT�O. �7 J�7� _ � <br /> I <br /> Thc Undcrsiyned_ r"nwav�7 $T��iG��� ' � � <br /> I <br /> Hereby applies for permission to (�,!JNS"Y�C✓�T A .. � z ' i`�N�,�f%� �i� � <br /> I <br /> , At the following location,�(/_i U!'C.c7 P�vFF Pp '� I <br /> SKETCH <br /> (Work to 6c done) � � . <br /> ' SEG /{�AGHED . � • ' <br /> Q� �'o G�li s f�'u-� ; . <br /> ' . !I��'� ��� 77 . ' _ : <br /> . , <br /> ; . , :. <br /> � DRIVCWAv SECiION The undcrsigned ownen c�re6y agrnes to hold and <br /> .F . . NO SCALE save harmicss thc City of Evcret[ trom any and al� <br /> I�— � --� , elaims for dama�es that may a:ise because of installa� . <br /> t" LiP . . tion and maintenante of the improvement hereto <br /> 30" I �— 30�• � � � applird for and (�rther agrecs to rc ove same upon <br /> no}ice fron�ihe Ciry d o i lyr�publie properry <br /> • - . . da ��icreby. �f�`' r—^ <br /> ��jJ fLG'cZ�'��� 'c.�,^� . . <br /> . .. . �-'-�s��« or n��i�-,-c <br /> �2C.��'—�� i Lri'G.C��trr-� <br /> COPY OP THIS APPLICA710N TO ' � A dress / �3o7-n� ��a �.,i,•• <br /> QE POST[D ON.�OBSITG. . ' . ' � ���- 3 0 , . <br /> CALLENGW[ERINGDCPT. 259�E811 � . �. Telep� eNumber <br /> 24 HOURS BC-fORE CONSTRUCTION � ' ' Uatc' �5��+ � <br /> CFIECK LIST �.� . . . Eco,��3 . . <br /> Watar Valvc . . , � .. � ' <br /> ' Dept. Apprqvals <br /> Drainayc � � . � . ' � <br /> CurbF<Gutter � ' � En9inccrs_��f�-r��„/ <br /> SiAcwalk ' � � <br /> Water • <br /> � � . � - � Strect <br /> • Communications <br /> Inspecror'sSipnaturc � Traflic � <br /> - Planning <br /> at-6 c— . _ <br /> I <br /> Rcma�ks - <br /> Notc: Oiiginnl to Qi:ton-�cr - <br /> , ��,,,Y �., �-���, '� 10 7 J _ -- I <br /> 5 f:�•py �:, h�.prctnr /�pprovrd 6y � <br /> n.... n...........a <br />