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r_ .T, - ---- <br /> • � �"'"" Af'PI.ICATIOM FOR f11G1iT•OF-Vt'AX IISE p[RMI7 <br /> ' evcretl � <br /> � 1�_�1 ;_ ;Z <br />� cir�t ��iGiuFerss <br /> . � � � <br />� EVER(d7"f, vJASt1lNG1'OPJ P[flMIT N0._�� " ��?� '�-' � <br />, _ _ _. � <br /> f The Undersipned.������Q .C���(,��f,��;+ <br />� He�rby eFlPlics for porrnission to-y,�L} !�'"�'"�---�-'---��•_c1_j-=,�___l�:�G!��� �`)� i - _.. <br /> _..., � G .�:_- <br /> �_�. ..-- ------- - �---- �------ --- --- <br /> —___.__ -- --.__.. . <br /> At thc tollrnving locatiun_ .�:Q'_�_���f-L_./�4��=--.---�..�.�'.='.1.__-------- <br /> ----'---_- . ..-----..._.--�-----'--'— <br /> SKEiCH �� <br /> IWOrk ro tw done) . <br /> SL'�. R'Y7;=�C l�f'G.D <br /> Q'� <br /> �� <br /> �' <br /> DRNF.WAY SECTION The underiigned owner bereby a�rons ro hnld anA <br /> NO SCALE savc harmless the Ciry of Everet.from any and nll <br /> ""'---"'� r.laim;tor damac7es that may arisn bc;.ausc of in;talW� <br /> `�,� ��P —' tion �nd maintenance of the improvr.ment hercto <br /> �— —'�� npplicd for and further ngrees to removr, same upon <br /> �'°�' �— ` nouce from the Cit ind to re lace iublic xo�e�r <br /> — _ --- -- _ _ _�•J.,3e--� v . P t i r v <br /> Aama; there�����n�--- --`- <br /> Sign�turc rrT Appl•cont <br /> COPV OF THI$APPLICATION TO AJdr,ccf „ !�(/ <br /> BE POSTED ON JQBSITE. ' ,�I `�'' � r :... <br /> !?.b.'=1/��-`� �/ ��sa,�(`_l� <br /> lclephonr, umbcr <br /> CALL. ENGIPlEERING DEPT. 2598611 <br /> - �• '/_�'���f',--- ----- <br /> -- - <br /> :4 HOURS BEFORE CONSTRUCTION Date <br /> -- ----- � <br /> --- .. lJ_'77 <br /> y�/'_—_'___'_"__ <br /> CHECK LIST_ f en /�f�y� <br /> Wate� vaivc Dert. Ap rov Is <br /> Oraina9e � ��� /�j <br /> � Curb& Gutter Enpinenrs SSc�F-k..1� <br /> � Sidewatk Water <br /> Strect _.----.__ _..-------- ----- � <br /> Cmm�iunicutiuns __ <br /> Inspector's Signeture <br /> Trnific___ _ <br /> Plannin9---- .—•----- <br /> at�— ---- - <br /> � Romarke '-" — <br /> Note: Originel to Cu:ton�er '-- - — <br /> 1 Copy to File 1��1� ��-- <br /> ' 1 Copy to Inspecror Approved by <br /> ' n...� n.,..._.._.. ' <br />