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� <br />CITY EN �INEERS <br />EV�R[TT..WASHINGTON <br />The Undersigned W� � i i o m .J I�i o 6 i n 5 o n � <br />Hereby applies for permission to co n S tru�'� 3�n %� . ��in/, <br />PERMITNO._7� – /bd <br />Ad the following location 9 4/S – 7 Tff A V C' - <br />(Work to be done) <br />m <br />> <br />Q <br />EI <br />r <br />P/�. <br />i <br />—Z �� Y <br />' �� Plnn}�r "— <br />i � Asphalt <br />0 <br />� � W Porkin9 <br />> <br />�' ,`f Areo j� <br />= m I � o�v��e <br />DRIVEWAY SECTION <br />NO SCALE <br />�'----- – 3 O ' --� <br />I" LIP <br />30" I _ 1 3u" I <br />•�' .�. '1 <br />COPY OF THIS APPLICATION TO <br />BE POSTf:O ON JO[3SITC. <br />CALL GNGWEERING D[PT. 759-8811 <br />24 HOURS (3EFORE CONSTRUCTION <br />CHECK LIST <br />Waror Valve <br />Drainagc <br />� Curb & Guttcr <br />SiJcwalk <br />Signaturc <br />Rr.maiks <br />99/s <br />Note: No 9ewer or wnfer. <br />avarlable� on site. <br />41¢�P PnK�•c� uG L�'�' War2�z <br />uhF ar Jf�i FE�T <br />Nole: Oripinal to Cw.inmcr <br />, c,.;,,. «, F�i�, � �, c ; � <br />, ��, .., ,., �,,,,, ,�,,, <br />P�i <br />The undersipned owncn c�reby agrees to hold and <br />save hannless the City of Everett from any and ali <br />claims for damages that may arise because of installa• <br />tion and maintenance of the improvement hcreto <br />applicd for and further a9rees to removc same upon <br />notice from the City and to replace pu6lic properry <br />damaged thereby. /, <br />///i. j�i.i'-a�_� �P�f.� �n-,.n <br />Si9nawrr ol Appii � it <br />Adilre .; � � ` /?��1q D cv A.� <br />_,�_1 S � / 'l 1 <br />Tclephonc Numbcr <br />—�i. L�--���% t� <br />Date <br />� /:�. p✓ �rr � I'a � �Ca <br />Fee � <br />Dept. Approvals <br />[n�iner.rs / ,� /n <br />watcr�. ` �–�[?`hSCF c /.-! �-!`'y U` <br />� <br />— Slreet��� <br />CommuniG io is <br />Tratfic �,�(/_,f� ��� � <br />Plannin,�.�/_.1_'. L(! �1!G� CL��--- �_,� r <br />%��>/�•��r `Yf�7 ,/d_/��iti'_L�-��.�C`rs/t'cJ<<.3 <br />__r <br />,�„n��,�•��i i�,; <br />