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EVERETT, WASH. v <br />Approved By <br />The Undersigned (1Reh,T- IJaATHhiE•3T E3dtLt)Ek54 INC. Fpf_D-Tow14S6IlJ Date Approved <br />-y-veedd <br />Hereby applies for permission <br />At the following location <br />ZI <br />WAVERLV PLAc.F�_ PLAT — <br />SKETCH ;> t <br />(Work to be done) < I <br />-2 ND ST <br />The undersigned owner hereby agrees to hold and save harmless the City cf <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 G 0 <br />public property aamaged thereby. <br />...._........... I__- ...._ <br />-DRIVE%VA1' C ILCTION <br />a <br />Inspector's Signature <br />Date <br />Remarks <br />Call Engineering Dept. 259 8803 <br />24 Hours before <br />construction is started. <br />DRtV 6'SGCTION <br />a I � <br />i'00V'f%c FOR - <br />O.'=R DRAINAGE <br />C9 <br />J <br />U <br />Variance Required <br />Yes _... <br />No <br />r L.+r, �d • l� <br />Signature of Applicant, , <br />Address <br />Telephone Number <br />Date <br />$her g <br />Fto <br />DEPT. APPROVALS <br />Engineers <br />Water yr <br />Street- <br />Communication+7�` - <br />Traff is <br />Planning B <br />' NOTE <br />C!IFCI< WITH WATER <br />D::PT. FOR WATER LINE <br />LOCuIONS BEFORE EXCAVATION <br />