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...,��_._____ . . ... <br /> _._ .-- _ __.�.. - <br /> ..._......--- --- <br /> -- - - -- - <br /> --�...��,.,,,, <br /> cvrreti APPLICaTIONFORRIGHT-JF•WF,YUSEPERMIT �113� J <br /> "� <br /> 1 � <br /> '��,,q�' <br /> ClTY ENGIiIEcRS <br /> EVFRETT, WlqSHIMGTON PERMIT NO. �B "2,jg <br /> The Undersigned__��!� �h � � �y�� ��� <br /> Hereh � <br /> y applies for permission to <br /> At the following location _ r]j /'Z„ /{ �_�_> /� ��� �� W <br /> Y <br /> SKETCH <br /> lU <br /> �N/ork to be done) ' � C� <br /> �� � ����� ¢�� <br /> I �� (��.� <br /> � <br /> �toK �.l - ... . a,.e r leso/�- i �. ll�r��..,. �l M 'i p.Ll;a Niepo, � � �.��,� „C Y,a;�at�.� s.�.. �.�.-So.,.o <br /> r <br /> d.,,.o ...� �i�� G-��--, � <br /> �'.�' ' „ <br />�' 70 ('r�s , D tr� J �, s �v�� �z , , � <br />� ---- <br /> - , -- — � � � � ��i� .�- /'.p � c <br /> . ,x dti (�/ <br /> / _ c, <br /> I� 'r/�`o .�0.,/cr fi^/�(!�rJi �P 5�.-y.� /�;�C•, ' q � � ... / <br /> �"� �F��. N4 N nr' �%� . <br /> ----- - --- -- - . . .. . � �._ ... __ . - — <br /> --------- �- � � -------�—�_ <br /> � -- <br /> � <br /> I �� / <br /> 0_ <br /> �-//- � <br /> DRIVEwnY SEC710N The undersigned owner hereby agrees to hold and I <br /> NO SCALE save harmless the Ciry of Evere[t from any and all <br /> � � claims for damages that may arise because of installa- <br /> i�'� LIP tion and maintenance of the improvement hereto <br /> �,3._0__"�I �_ �30�� � applied for and further agrees to iemove same upon � <br /> ' ' � — —'1 notire from the Ciry and to reptace public property <br /> darr� (ed thereb,y�j�/J/ j��-/�.��J/ <br /> G./ "/�'I / ///jT!.[�N�jT�) <br /> Si�amre of Applican[ � . <br /> �----- �-G'. ,� _s:Y � L� sT�-v,: <br /> j COPY OF THIS :�PFLICATION TO A�ress <br /> � F7F YOSTE-D OiV JOBSITE. � i ��— /,1�`D j <br /> � CALI ENGIf�IEERING DEPT. 259�8811 Telep�ne Number - � ` /-- <br /> —��-c.� .2 =S — ��• <br /> 24 HOURS BcFORE CONSTP,UCTION Date � <br /> CHECK LIST '� � � � � <br /> �`Jatar Valve . Fee !t� . . . <br /> Si <br /> Drainage QOpt. Approvals �' , <br /> Curb& Gutier "- � � � '� <br /> Sidewalk En9ineers �� - � � , <br /> -- '.Nater r � �. <br /> l� <br /> Street � � - � �� � <br /> — Communications '�"� � � <br /> Inspector's Si9nature . .. � , <br /> Traffic . � � �� <br /> . Planninc� ���� -. . � . <br /> bate --- <br /> Reinarks - ----- --- <br /> 1. 1 � ;� �5 _ r- <br /> � Approved by <br /> � -"'.. <br />