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The Undersigned � ' <br />Hereby applies for permission <br />n� p oved 0y <br />�.�.�zi� '7 ��%i/ <br />oa�� nPa�o��d <br />At the following localion '� � "— ' �r � -' ��f <br />SKETCH <br />IWork to be donel . ' - � ! � " � � ' �' <br />, "- 40' <br />�1� <br />� ;i <br />� <br />� , <br />� ��� �LLEy <br />� . <br />The undrrsigned owner hereby agrees to ho�d and save hnrmless the City of <br />Everett from ony and all claims for damages thaf may arise because of Ihe <br />insfallation and maintenance of the improvement herelo applied for and <br />(urther agrees to remove same upon notice from the City ond to replare all <br />public property damaged thereby. <br />IY.E:�AY. �. 5[C <br />(NV SCAL: � <br />N <br />�:.;-n � � t-£a <br />9 : ., ` ,. _._ . . , _. __ ._.... .._ <br />? �- , {-_'�.`,"'_� <br />�._ _ , . .. - <br />i, --;;__.___.._ _� <br />�.____.'_..__ - ______–.___.�."_." — <br />Inspecfor's Signalure <br />.S/TG �fi1�G,��"U ��4: �7/ <br />Dafe <br />•? i j <br />3{i... <br />QRIbF.\��AY SECTIONJ.. <br />� � _.. _ . _----� <br />I __ - — <br />,�� <br />; .. �.__. . _ . .. _, � .,���� <br />� �:% _. ... _ _�_...._ _. _l.__ <br />�__��..�--�.... � i-�l : J C r:� �� <br />Call Enginee�ing �epL �;,� ���'J <br />24 Hours beforc <br />const��ction is started. <br />Waler <br />Strcet. <br />Tralf ic _ <br />Planning <br />_..-- -- <br />,�:'JI.:'� � OR <br />�;,���Ci; nR,r�.Ip1p.GE <br />V/ <br />z <br />e� <br />Variance Required I <br />Yes ..... . _.. _ _. _... _..... <br />No_.._ ......_._......... <br />� <br />�_ <br />�3p �r�t�u. ��� <br />Address <br />�,�ss-.����-- <br />Telephone Number <br />�1r��ec,-� 30. �f'7i <br />�are <br />��� � . <br />S � -- r Ti1_�-�� <br />Fee <br />DEPT. APPROVAlS <br />ra <br />PlOiE <br />CH[CK WITH WAT7 f� <br />D[PT. FOR WATC�� LINL <br />LOCA'(IONS �EF.'i�E EXCAVATION <br />