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EVEREIT, WASH. <br />The Undersigned <br />Hereby applies for permission to_ <br />At the following location <br />SKETCH <br />(Work to be done) <br />G / S.-ST <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the installation and maintenance of the improvement hereto applied for and MI. <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby.SOCTION <br />.y <br />SCALC) <br />IVF WAY. SECTION -- <br />WALM <br />Inspector's Signature <br />Dale <br />Call Cngineering Dept. )59.8803 <br />24 Hours before <br />construction Is started. <br />PROVIDE— FOR <br />PROPER DRAINAGE <br />Approved By <br />Date Approved <br />Variance Required <br />Yes .................. <br />No...........__.. <br />/ Signature of Applicant <br />Il "ll Ll a- t�n✓ettc°C <br />Address <br />Telephone Number <br />D P G / / <br />$ <br />Fee <br />0PT. PROVALS <br />Engineers'-Iv��C� <br />Water <br />Street � � <br />Communications _.{�Li"' <br />Traffic - P (r's' r.co' " <br />Planning "IT <br />NOTE <br />^.HECK WITH WATER <br />GcPT. FCR WATER LINE <br />LOCATIONS BEFORE EXCAVATION <br />