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G4r <br />CITY ENGINEERS �( <br />J T ri'Llr u�'L� <br />EVERETT, WASH.-� Approved By <br />hwnlz /.4! 11k,71 <br />The Undersigned % I I gg0 BE Date Approved <br />Hereby applies for permission to ( n r -,r2 tl ^' d 119 pIko <br />At the following location_ //, e In ` 71 'S P L AC r <br />--------- - - ------- <br />- - - - - - <br />� <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 <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />-uHlVh%VAY SECTION <br />Inspector's Signature <br />Remarks <br />Call Engineering Dept. 249 8803 <br />24 Hours before <br />construction is started <br />Variance Required <br />Yes <br />No <br />(^.O SCALE) Signature <br />sa, <br />0 <br />1 --���------= ielepha <br />DLPI. iOf? WAIER LINT: <br />A OCATIOPIS 8ERORE EXCAVATION <br />t <br />f Applicant <br />j • . �lai� <br />rest <br />r •' <br />Dale <br />Fee <br />DEPT. APPROVALS <br />Engineers �� Iry - <br />Water <br />Street — <br />Communications -- <br />Traffic (s'("7��• <br />Planning <br />PROVIDE FOR <br />Pli0i,Ell DRAINAGE <br />i <br />