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�•.eren <br />. � <br />�CiTY EN�INEERS <br />EVERETT, WASHINGTON <br />The Unde�signed <br />He�eby applies fo <br />At the followinp <br />APPLICATIONFOh GMT• �VUSEPERMIT "11Z96 "'-�., <br />� � �' <br />�'� ���� G �= � <br />.; <br />oro�urun %/l���g . <br />�LVork to be done� <br />� T� �� <br />� �/, <br />. <br />g_3-�� <br />DRIVEWLy SECTION <br />NO SCALE <br />� � <br />11�� LIP <br />I-�°'=4-- �------ '°'�I <br />� COPY O�� TH�S 4PPl ICATION TO <br />� BE PG57[D 0'J JG9SITF. <br />CALL EMG�NFERING DEPT. 25&8811 <br />24 HOUPS BFPGHE CONSTRUCTIOPI <br />�-------- - - --------- <br />CHECK LIS7 <br />Water Valve <br />prainage <br />Curb & Gutter <br />Siclewalk <br />Inspertor's Si9nature <br />li�9s <br />cusroMsw <br />The undeniyned owner heroby aprns to hold end <br />save hermless�the City af Everett trom �ny and all <br />claimt for damages that mey a�is� Mnu�s of Install�- <br />tion and mainronence nf tha imprwem�nt hereto <br />applied for and further aprres to nmov� ume upon <br />notice irom the Cfty and to replacs publfc proparty <br />da ad th e y. <br />�,�/ <br />aignaturc ot A mant <br />77s q�/Q� -�Y�=��� <br />Telaph��e N�umbe� / �-� � <br />�te <br />Dept. Approvals <br />Engineers _ _ <br />Communication� <br />r+�v�o�ed ny <br />Date qpprwed <br />