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i <br />�evcre❑ <br />'�' <br />CITY [NGINE[RS <br />EVERETT, WASHW�IuiV <br />The Undersigned _ <br />F!ereby applies for permission to <br />P.t the followioy I <br />SKETCH <br />�Work to be done) <br />� �� : �rc nconqlT <br />APPLICATICN F;JIi niGri�i :,i-�"w%�� - _ <br />DRIVEWAY SECTION <br />-- _ NO SCALE— _—_.... .� <br />'� <br />��—� LIP <br />� -e . _ �j�.. �i <br />1�3 .�. - .. . ._.. , - , <br />I GCPY OF TM° f�PFLICATIOi���TO , <br />� BE POSTED GN JOBSITE. � <br />� CF�LL ENGINEERING �EPT. 259�t3a11 <br />24 HOURS 9cFORE CONSTRUCTIOfJ <br />�_--� -- -------- <br />CHECK LIST <br />Water Valve <br />Drainage <br />ruri. R (_ilt -er <br />�— <br />idewulk �i <br />�---- <br />h�spec[or's Signatw�� <br />—ISJ •: <br />fiamorks <br />PERMIT NG. <br />l"he undersi9ned owner hereby a9rees to hoid and <br />save harmless the City of Everet[ from any and all <br />daims ior damagr.s thzt may arise because of �nstalla� <br />tion and maintenance of the improvement hereto <br />ap�lied for and f�rther ag;ees to remove sarne upon <br />notice from the City and to replace public Frouerty <br />darriaged therebY. --- <br />Signamre nf Applicant <br />Address --- <br />TelcphoneNumber ---- <br />Data <br />Fee <br />Dept. Approvals <br />�Na:er <br />Sti eet_ <br />Ccmrn micatious <br />P13nning_ <br />F,pproved bV <br />[lttlr Annrnvcd <br />y <br />