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._ qpp�ICATiON l=OR RIG{iT-OF-IVl+Y US[ P[RMIT , �1 O H.L <br />cvcrc:t ' <br />. ��^l+1 <br />CITY E� «�S PERMIT N0. �� 3 73 <br />EVERE'!T, �VASfiINGTON . <br />The Undcai9ncd s:,�c�L: $F�'�' —A ir F>F Ti� t -lOf� <br />' - -- - - �.,.�-ri.ic iz /'r,•�1G12_- <br />Hereby applies tor permission to <br />/ _ _. �', <br />At the following <br />(Work to be donc) <br />• �, . <br />� l0ll '1 <br />, . I���/�� <br />� <br />� `. <br />� DRIVE\'/AY SECTIOIJ <br />NO SCALE � <br />� I•' LIP_ � <br />30� . 'F=�- trl„3O� <br />COPY �f- THIS APPLICATION TO <br />liE POS i L=D ON JOIi�IT[. <br />CALL G��GWGCRII�G I1FP'i.25D uR11 <br />24 HOURS „[FOR6 COfdSTRUCTION <br />CIiGCK LIST, , <br />Wotnr VaWc _ _ . • <br />praina9c ' <br />Curb & GuCtcr ' <br />Sidc�+�alk . � . . <br />�nspcctur's Signaturc � � � <br />��_�_--- <br />—�lc <br />. -------"_'_ <br />Remruks <br />N����; p�igin�ItoCustomcr q C' q <br />1 Copy to f ilo ).1 U(� J_ <br />1 Ci,py lo In:Pr.ctor <br />The undersigned o�:�ner h�reby ayrces to ho!J ar�d <br />5avc harmless thc Cily oi Everctt from aey and zIl � <br />claims for damag:s tha: may ari:c becau:c of in,tzl!a- <br />tion and maintenance et tiie improverr.cnt hereto <br />applicd tor . nd further agrr.es ta �emove same upon <br />notice irnm :he City a d4� f�{�lace �+�ibUc propertY <br />da�n Ee�'�tl.iemtY, �.c�; � , <br />� �� �'� 1 �1 � �� <br />C 1_"�!_��r��.��. �.._'-� <br />Si9ri5[ui(e"ot'Ap(J�iicant /� �i: :'. c-� �(�% <br />�\1��^-=1�L-J �c'-�Z'''—�G <br />A!�(�fCSt (f'� N �7"� G J <br />%�� ��s..3/.� !�%r�: �� <br />�• -� <br />Tcic>t>> � Numb�- / �.�� <br />.�J ;�;5 -- <br />Dace <br />.-,--------- <br />Fce �/Q f-G`'r <br />' • D..:t Approvals <br />.i <br />�l�I�t� � <br />En9inecrs - --� <br />Communications <br />Approved l�y <br />Dalc l�Pp�nrrd <br />