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_ __ _. . .,� <br /> , __ � <br /> I <br /> , '� APPi.ICATION FOR RIGt1T•OF-�VnY �J,if. PGRh11T <br /> . � fevcrefl n r <br /> � �03��5! <br /> f,ITV (:NGINEERS J <br /> f:VCR[TT, WASHINGTON PF.RMIT.NO. �1�� C_.[�� �f' <br /> The Uodcr';ned�t-p.�1 ���,, �����//�((��/�!!�L(Ci°-`� ---. . . . . <br /> Ncrety aPPlir,s for permission to=��:��,Z���L�'�'._ /�� '�/(�.I�1L(4% . ...__---- <br /> --..__-----_..—.--....._.l= .-- �-- ._ _.-..__. _ . ..._�_�_____._....__�._..,. . <br /> , _ . _. .. __. <br /> At thc following tocation�_,,��_.��/�_��C,__/..�'.-l�l--..__._.---,.---- <br /> SI(ETCH -- <br /> (V�lork to be dunr.) �� <br /> S ° � f7"/ TAC%S'�I;J <br /> /i i1 <br /> N <br /> { <br /> C <br /> URIVEWAY SECTION The undersigned owner hernby a9�eas to hotd and <br /> {� NO SCALE save barmless the City of Everett irom any and all <br /> I � �� '�-�� r.la�ms (or dima�es that may ariso because ot installa• <br /> � �I" LIP __� tion anJ maintenancc of thn improvemr.nt hcrrto <br /> �---� ' npplicd tor and turthar a�recs to removn samc upon <br /> �30';,�,,. , ,_. __,_,__ ____ . _ I ]o" I notir,c from the City and to replaca public propc�ty <br /> �f' •'I <br /> damaged thnrr.i�y./��� <br /> C.f_`_���.f�c��..---- <br /> �Sii�nature� � Applicanl - - <br /> COPY OF THIS APPLICATION TO A��lress —`�--- <br /> 8E POSTED ON JOBSITE. ,/,.� �-����� �/� �� <br /> T��icphone Number � _..._ ._._....�_.. <br /> CALLENGINEERINGDEPT. 2598811 _���_Gy���! <br /> 24 HOURS BEFORE CONSTRUCTION Date 1 - ----' <br /> --- --- - i,�'_�!7 <br /> CHECK LIST I cu %v�,� n �� <br /> Water Valve � F�.£� ro�a�� <br /> Drainage 4��t' AP ,/�` � <br /> Curb&Guttet Enpineers_[�,r��i_s2X�/'��A� <br /> Side�.valk -'-- <br /> Water <br /> Strr.et <br /> ----'-'-----..__._.-'-- <br /> Ccmmunications <br /> Inspector's Signaturc Traflic_.. <br /> Planning _ ___ <br /> ate <br /> Remarks — _— <br /> Note: Crlflinat to Cus4omer — --- <br /> 1CopytoFile 10996 <br /> 1 Copy to Inspector Approved by <br /> ��r <br />