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everetl <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />� <br />1b�iU ,,� <br />���� ._ Ati;�.. <br />_'.'j'.. ",�Y.^ ' .S> <br />i+^4. <br />.i:1 ' <br />PERMIT �VO.�g�� <br />�T <br />The Undersigned . N�;C�4/E �/ f1 j�'�/ � <br />Ilereby applies for pertnission to ('�v c��4 y 2" ,(J iGN "f�sL�J _! J�<. �r'idC� /FPPac.o Y� <br />i <br />/ <br />,�_ 1� S`n niv • i-�J JF' r) i <br />�� <br />At the fnllowing �ocation_ � wr 7 S7YS-7t= S�- <br />(Work to be done) <br />. <br />�o�1g <br />hk;rrFv �,i,�7E� D�l�t <br />$ EF=G �c �Nsr,9u9Ti��J <br />� <br />a <br />�� <br />a <br />�� <br />r. <br />r <br />2y/7 <br />STiti%r <br />,S'O � T <br />� <br />O <br />� <br />y <br />z <br />�_____ P�.pt�rZ_�;^.e_____.._ <br />� �% S/P �T• Lo�va `N.L �/�: a� C/�,�i n, L:vK Fea � <br />s,;IG �-,,ik <br />Ti%�.� � i�o.rr�6iiii;v �-.1.��'- Zv....r.� 01- �� s ryr�....n. f...i�s <br />/?L �s ��E/�i f)� S�� •,1 f' �/ii d/ t y'�jG G a. s �..SC�i'/�h.c¢ <br />�.�.�..t to j'�`ef,cj� /�e _ ..IF !✓o ;+'- .r' Scs 9iv oe�«7'-,,;,r <br />,rSv�" s7��-� .�,�" �•�.��} / ' t�''-✓yi�v.. L�.r..c.�t o/c` �� <br />DRIVEWAY SECTION � The undersigned owner hereby agrees to hold and <br />. NO SCu.LE save hartnless the City of Everett from any and all <br />f�--- � ������ ciaims for damages that may arise because oi inslall8• <br />�� +�^ �ip � tion and maintenance of the improver�- •! hereto <br />30"� I 30" I A�, � applied for and further agrees to .::�iove samc upon <br />��, �� _2.S notice from the Ciry and to r_r,�ace public property <br />d ed thereby <br />COPY OF THIS APPLICATION TO <br />E3E POSTED ON JOBSITE. <br />CALL ENGNEERING DEPT. 259-8871 <br />2S HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />:Va[er Valve <br />Orainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks � � tl � O <br />Signat of ApplicanY/ <br />2�// 7 St�-Tc SY• �vr.n ei1' <br />Address <br />25—� —7�5`G <br />Telephone Number <br />C�� • /3 /978' <br />Date <br />No r-�r <br />Fee — <br />Dept. Approvals <br />Engineers <br />Ccmmunications <br />Approved by <br />CU57'oMaR Date Approved <br />