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everefl <br />�� <br />CITY ENGINEEHS <br />EVERETT, lVASHING <br />The Undersigned _ <br />Here�y npplies lor <br />At Ihe fo�lowing <br />Hrr���N i iviv run ni�n i-ur�wHY UJt NtHMIT 11 � i� � <br />PERMIT N0. 7�' Z 7� <br />SKETCH — ---��------ --- <br />(Work to be done) <br />���� � � �==�»s � . <br />,�ji �/� <br />c��` i <br />DRNFWAY SECTION <br />NO SCALE <br />f'----- -----`� <br />I" lIP <br />— _-- <br />�o�'i'— .. �—_._ _ . „�.30"� <br />COPY�OF THIS APPLICATION TO <br />AE POSTED ON JOBSITE. <br />CALL ENGIN=EfiING UFPT. 759�9811 <br />24 HOURS BEFOfiE CONSTRUCTIONJ <br />CHECK LIST <br />WMer Valve <br />Drainage <br />Curb & Gutter <br />uidewalk • <br />Inspector's Signature <br />6:i <br />Hrmarks <br />� -�.� <br />�� -; . <br />11382 <br />eum�Mu <br />The undersigned owner hereby agroes to bold nr.d <br />save harmless the City of [verett irom any and all <br />c�aims for damages thal may erlse because o1 ins�alla• <br />tion and maintenence of the Improvement hereto <br />applied for a�d further agrees to remove same upon <br />�otice from the City end to replace public properry <br />da ere <br />Si na ure ot Appl; nt � <br />�dd/f �'4'��,�wc;���u•�, <br />Address <br />Telep one umbe� $^ <br />Date � ' / � ��-- <br />bept. App�ovals <br />Street __ <br />Communications _ <br />Approved by 3 <br />Date Approved � <br />;a i <br />