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ni-r���cnr�or: rcr, :�ici{T�of ��r�F,r us� t ��,ra � <br />"'t'l'fCi� <br />,;'�.:1 <br />CITY ENG�NEERS <br />EVERETT. WASHINGTON <br />The Undcrsigned � ��� -SM / 7+� <br />Hereby aoolics for oermission ro �'-�^.� :'^'r7,JCT A D�- ��S°"' ''� '% � i <br />1. +) �' � � <br />�' / , <br />PERMITN0._ /? ><� <br />At the following location ���/ 3 Q r� ��.. S r __ <br />jWork [o be donz) <br />Sr't 117T'l�Cf!EG <br />l � f0 _/_ : v%7l�/��t. �� ���� J <br />8�� <br />�C_A�.G/'K=�/_ GC��/f �/ ��l/� dE� �G'/�ile�Jt �' <br />DRIVEWAY SECTION <br />NO SCALE <br />f= -----{ <br />[_ I" LIP <br />L,30'�_ I 30" I <br />i- --..j� _..� <br />COPY OP THIS APPLICATION TO <br />�E POST6D ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�5811 <br />24 liOURS BEFORE CONSTRUCTION <br />CHE�LIST <br />Wator Valve <br />Draina9e <br />Curb & Gut[er <br />SI�CWJI{( <br />�_ <br />Inspector's Signaturc <br />Notc: Unginal lu Cuslomer <br />1 Cnpy In f-ilu �'�� i� �l (� <br />1 Cupy Iu In;per.lni . ., <br />The undersigned oevner hereby a9rees to hold and <br />save harmless the City oi everett (rom any and all <br />claims tor damages that may arise because of installa� <br />tion and maintenance of the imprcvement hereto <br />applied for and furthr.r agrees to remove same upon <br />no[ice from the City and to replace publir. property <br />damay5� g�' thereby. <br />—�ii`(ps--���.�� - <br />Signa�e of Applicant _ <br />2E)`r2-�� �IS`"i���:_�•�: <br />Address /j�',//�/�� ���,�� <br />Telephone Number <br />�1��3'.�— / 7`%% <br />Date <br />� S /�%7 <br />Fe��� p� <br />{Dlept. Approvals <br />Enginecrs l �� ' L��•-� <br />0 <br />Communications <br />Approved Ly <br />[r��� n,,i,��,v��i — ----- � - <br />