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everetl <br /> . �� <br /> • CITY ENGINEERS 'y/ L ` <br /> EVERETT, WASHINGTON PERMITNO. %C� <br /> The Undersigned_�_�_� f=j�-/'r= �/��/ (�%_ /,j� -� �c"��I��YF� l//( <br /> Hereby applies for permission to �[7�_/i > ?��' ��-> f— � /\�' '� ��f �J <br /> At the following loca[ion�—�C�� j �� �'� �-C�. <br /> SKEI'CH <br /> (Work [o be done) <br /> � _, �: <br /> �� L �— � <br /> G <br /> i �I. <br /> � <br /> ` `�',: C <br /> � <br /> 1 �;�\ .�` <br /> / <br /> , ` � <br /> L^` <br /> � <br /> �._ �� 'f� <br /> c: ,, <br /> , <br /> . „ .. _ <br /> � <br /> � <br /> �RrvEWAY ;ECTION The undersigned owner hereby ayrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and all <br /> � — � c�aims for damages that may arise because of installa- <br /> �_t�_� ��P � tion and maintenance of the improvement hereto <br /> appiied for and r�her a9rees to remov'e/same upon <br /> I 30'�___� ________ _ �30"_ j notice from � F�Jty� � repla�/piyD i iqr + <br /> r-- -, <br /> damag d�h� l / �-Ey� � , <br /> ��" ,.. ,� . Cl�--' L:� � <br /> j Si9 [ure of Applican[ " <br /> � �i"�:. <br /> ' _ � ��/3�'�(' Cr-'l l.>�``���� <br /> CO?Y CF 'fFIIS AP"LICFlTION "I�O � Address <br /> se P��s-r8D OPJ JOBsn e. `�',?% /.3 S�J <br /> Teleplione Number �/� <br /> CALL ENG!�VE[RIPJG DENI'. 25&3817I y Sf <' <br /> 24 FiOUHS BEFORE CONSTRUCTIODJ Date / <br /> CFIECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainaqe <br /> Curb&Gutter Engineers _ <br /> Sidewalk <br /> Water <br /> , Street __. <br /> Communications <br /> Inspector's Siynature Traffic <br /> Planning <br /> -Date <br /> :'1 <br /> r� Remarks <br /> �� 11348 <br /> , <br /> � <br /> ': . APProved by . ..�.�.i-- <br /> ; . . . . . ,,, , <br /> � <br /> � <br /> . � .. � � C17S7VMER � Date Approved . . -;:;p <br /> p... i �i.rt 'r <br /> �'� '�:�'.: - . . :'sY . 4 '�t� r � � . . . . . . Yb'w1.,'.J.�. <br /> „� <br />