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J <br /> CITI' ENGINEER� �7r� /�r,/ <br /> EVERETT,WASHINGTON �� � <br /> PERN��T N0. � <br /> The Undersigned �'��'-,'�-e!��t� .-��'' �/`�-�,->_S�'/(J <br /> i <br /> Hereby applies for permission to G��YZ�' �9 G��� � Gl� Gr/ <br /> A[the tollowing Iceation � f 2J� � C. • <br /> SKETCH <br /> (Work to be done) <br /> ! . <br /> / <br /> ,� ��2s <br /> h�' � ' <br /> i � � <br /> I� I <br /> ��!� ~ � CONS .T. � S�/fAGT �/!�V_ � <br /> ' `�� I <br /> .CCJr�TFi,tE' � I <br /> /�=�'/ vn <br /> Yj'�/�. .. �7� ��a.����5 �x; � <br /> � Q l U � i <br /> �_ � )�j'� `i � s4i�L``.r i <br /> �� <br /> . � . <br /> ( . ' <br /> I � <br /> I <br /> � � <br /> DRIVEwnY SEC710N The undersigned owner hereby agrees to hold and ! <br /> NO SCAL <br /> � �� � save harmless the City of Everett from any and all <br /> �,,l. claims tor damages that may arise because of installa- :� <br /> _ _ +I" LIP —�1 _.yt'� tion ano maintenance of the improvement heretc. : <br /> 30' _ I 30" �Q�• , applied for and turther agrees to remove same upon � <br /> —"f' � notice fro�rP�the City and to replace ubli .property <br /> ,7G �mage :ttf eby. <br /> 7�� � � ��� <br /> ;i� rturf of ApPlicant <br /> COPY OF THIS APPLICATIOM TO A��ss�`��� ���l�� �� <br /> BE POSTED ON JOBSITE. �`�� ��y�r" ' <br /> CALL ENGI�EERING DGPT. 25�J-8811 Telephone Nm»b�r — <br /> r��, <br /> 24 HOURS 6EFOftE C0�'STRUCTION DaJtc � / <br /> ' _ CHECK LIST F�e/� �O �����` � � <br /> Water Valve Dept. Approvais <br /> � Drainage . �-c� <br /> Curb&Gutte� Enyineers <br /> Sidewalk <br /> -� Water.a �y/ �ji=h tileei�sFl� �,.Il� <br /> strcec��i�t� � <br /> _ Communicati s � <br /> Inspector'sSign,tum — i <br /> Traf l ic //2, I <br /> Plannii j�-r��� i%(�i�.�, � . <br /> � at�- � J`��'4.11 /,y��r�icv •��- /� <br /> Remarks — <br /> �'oic: Original to Customcr <br /> , �o,�Y �o F��� 10 5?_ l _ <br /> 1 Copy to Insper.tor /�pprovr.d Dy <br /> D;ilc /�Pprnved � i <br /> -.'�,.. <br />