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i <br /> i - I li <br /> � i <br /> � everett i <br /> i � ARFLIGATIa�J �QR RIGHT-C�F-WAV ��SE p�RMIT <br /> Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES � <br /> PUBLIC WORKS <br /> EVERET7. WASHINGTON PERMIT NO. / Z <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: I�• �' 1(Cl7C�� I NI � rsr,n I <br /> � L f /� � <br /> IHEREBY APPLIES FOR PEFMISSION TO �rec 1 �=! 7"F_!'I P P � G G� <br /> AT THE FOLLOWING LOCATION I�I o� I��/I S��E E'�- Cvere 1 1 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> �� ,J �� 6P�,�, <br /> �z � �. feti�� ��iati� � ���y <br /> ,So� f/� of ��.v � ���- d S e f /�u � .f .> f f.��s� <br /> U �C <br /> � <br /> p� i�il�( <br /> � <br /> i <br /> Qi <br /> i , � <br /> � <br /> . I <br /> I <br /> DRIVEWAY SECTION � <br /> PERMIT IS 4/ALID FOR 60 DAYS � � <br /> I COPY OF THIS Af�PLICATION TO BE POS7ED ' <br /> ON JOBSITE. r� i �" LIP ; <br /> CALL FOR IPISPECTION 259-881 1 � 30"� T � ___�.,30" i <br /> 24 HOURS BEFORE CONSTRUCTION <br /> �The undersigned owner here0y egrees to hold anE save harmless � <br /> ihe City ol Everett Irom any and all claims for damages. cusls. <br /> expenses.or causes of ac�ion Ihat may arise because of installabon <br /> I antl mamlenance ol ihe improvemenl or other ngM-ol-way use <br /> herelo appLetl lor antl furiher agrecs Io remove same upon nobce <br /> I.om Ihe Ctly antl to replace pubOc properiy tldmage0 thaeby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMML1NICnTiONS <br /> DRAINAGE TIiqFFIC �/ {r p/ <br /> ` // / ✓lfiilC'-Y/fiQ//�_, <br /> WATER PLANNING SIGNATUAE OF APPLICAN* <br /> l 5!� I'-fh� S-�: . <br /> STREei PODR[55 �.I,' � <br /> � �, �l/e re f"�� �a . q-�' O I <br /> � 1 �hfcs'—/ c�,� z��. I, <br /> � �` E' FnR CpNSTRU_ti._N . . �'[�n-f . �J� — .. � I . <br /> �.:f- �� J; �l — ^:l F. f <br />