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i <br />dY <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />��r <br />The ( Undenipned _]N[� Il <br />Hereby applies for permission w t n <br />At the folio#ing location t <br />f::: ,I?,..��, ,'-;- t\n� �t <br />(Work to be done) <br />7 WETMJ= r <br />I r-S y' <br />LAl'DZPPlifC• (7'Y,✓) <br />NEV'1 S/i k '%,LK <br />6 .--/\ f <br />Al <br />DRiVC:WAY SECTION <br />NO SCALE <br />1Va-V' <br />PERMIT NO. 75 41 <br />AVE, r--AFW Czllrl.'M t-/w <br />3ln l 4- <br />• .r,tl <br />fCOPY OF THIS APPLICATION lU v <br />BE POSTED ON lOBSITE. <br />LCALL ENGINEERING DEPT,259Sal <br />HOURSBEFORECONSTRUCTION <br />CHECK LIST <br />V7ator Valve � �PC.;'J'�O.t � %y vL�.7l<Y ieY✓o` � <br />prainagc <br />Curb caber <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa. <br />lion and maintenance of the improoement hereto <br />applied for and further agrees to relhove same upon <br />notice from the City and to replaFT ublic property <br />damaged }hereby. /I f <br />phcant I <br />I. t'6_r,r ISt1_11 <br />- - <br />Tclephate Number <br />Date <br />Fee <br />Dept. Approvals <br />Engineers� <br />