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APPLICATION FOR HIGHT-0F WAV USF PERMIT <br /> � °,•��'� 10 77 7. <br /> e � . <br /> CITV [NGINEFRS , , , <br /> FVERETT,WASHINGiON PERMIT N0. . <br /> The UndersigneA ._-- . --.- _ . _.. . - --�.. <br /> HeiebyaPPliesiorpermission �c _________ . . _ _ _ _ - -. ---. .-.-- - - -� — - <br /> At the fallowmg Imation_ - - ---- <br /> SKETCH <br /> (Wnrk In hr dnne� - . N U ._1 1 r �y �! V�' <br /> �/r1�� �� a ✓ i 1'1C <br /> DRiVEWAY SECTION lhc undeuq�ne�l awnei hrll'hy dyiH�ts In hUld :inil <br /> NO SCALE save ha�mless �he Ciry of Everett from any end ;di <br /> f. �+ claims for dnmages thxt may arise because ol inc�,�lin <br /> i <br /> — - lion and maintenance ol the improvement herein <br /> �_—���� � �r _� applied for and further egrees to ramove same ul����� <br /> �30'� � .j.3O��« imtice from the City anA to replace public proP����v <br /> AamageA Ihereby; <br /> � ,� ,, w ,_ . .�1- <br /> >� _ .____.. _ _ ' <br /> SgnBfylr ot��plicTnt <br /> �G/�r- [ � fA_ 6riFEN 1�.�." . <br /> � I:UPYUI il{��SiiPPll�.i�ll�lfdl� � Address <br /> . I BE PUSTED ON �OHSITL -»-i �� - <br /> Tele�hone Numt�xr <br /> � rnll f��GWfFRIMR 'lf�T 7'�'� � � � ��/� � <br /> � � �. , ; i'u�.��.I R!i� I li �,�, Date <br /> -- L� _ _ <br /> CHECK LIST Fee <br /> Watni Valve � Dept. Approvn!s <br /> Dra�naye F.nyvw�ers__ . <br /> Curh & Guiter �Y ,/��/ -- - � <br />� ,Sirlewalk /n'.,i►.. . �� /� �J,✓��r7'" � � YJa�ur _ _ . <br /> .�.�j �- I� Sueet--- —— <br /> Cammwiications . <br /> I Inspecmr'sSignahir� Trafhc__ _._._ <br /> Plnnning_____ <br /> �ate -- - — i i _ <br /> --- -— __ ---- <br /> Remarks <br /> Note: Onginal to Customer <br /> 1CopytoFile 10771 � <br /> 1 CDpy ln Inspertor Appraved hy <br /> Ddir l�P�n�rv�.,l <br />