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everett .�. J � <br /> . � <br /> CITY ENGiNEERS <br /> EVEIiETT, 6VASHINGT�N PERMIT N0. 7��Z 7� <br /> ,�.���/� i <br /> � � j� ' � �',.�yl' k ,� <br /> The Undersic ned •. .<-.__,___`_l;{,. {� <br /> Hereby applies For permission to_ . ' __�,�`��../(�� 7 i— � _L.c..� .n.t ....� . <br /> Atthefollowin�location 'J.�� � -,/�,•�,._._�...�.c,.y_;�/,•,4,;��-,,— �r' ,� <br /> - ' �r-- / <br /> �% /5-23� /} c� l <br /> SKFTCN <br /> (Work to be done) � � <br /> i <br /> lf�- 7~� G'OlrS7.�' <br /> � ,��f -;. —ii� <br /> /1' . <br /> oRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> {�� NO SCaLE save harmless the City of Everett from any and all <br /> I � claims for damages that may arise because ot installa• <br /> �i^ ��p —�� tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove samc upon <br /> 30" __ 30" notice from the City and to re lace public properry <br /> da aged thercby. j <br /> J <br /> � ignature oY'f� plicant <br /> 9'S��L7��s��` _ <br /> COPY OF T41S APPLICAiICN TO Address ` r " — <br /> BE POSTED ON JCBSITE. � i7— JC%L�C' <br /> CALL ENGIN�ERING DEPT. 259-8811 <br /> Telephone Number <br /> -�/.z.� /��= <br /> 24 HOU?S BEFORE CONSTFUCTION Dare <br /> GtiECK LIST Pee <br /> 1Vatar Valve Dept. Approvals <br /> Drainaye <br /> Curh&Gutter En9ineers_ <br /> Siciewalk <br /> Water <br /> Street <br /> Communications <br /> Inspector's Signature Traffic � <br /> Planning <br /> �Sate - — <br /> Remarks � � � �^ <br /> :� <br /> Approved uy <br /> eUSTOMIDc Date Approved Y <br />