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r <br />GINEERST. WASHINGTON PERMIT NO.>raersigned <br />Hereby applies for permission to - - <br />At the following location <br />(Work to be done) <br />wu fl <br />" 1 <br />� '' � Vic,••- %;�' l <br />36,44 a t,, <br />(ta• 4 I0* A00'�. R1.•I'To iF:13 I A•"?IiAasG c_•__. <br />6r 4 ied �.rfo <br />DRIVEWAY SECTION �� I e�Ed The undersigned owner hereby agrees to hold and <br />NO SCALE__ save harmless the City of Everett from any and all <br />claims for damages that may arise because o1 installs. <br />1- LIP -%� tion and maintenance of the Improvement hereto <br />applied for and further agrees to remove some upon <br />notice from the City and to replace public property <br />—'t'— damaged thereby. <br />Signature of Applicant <br />COPY OF THIS APPLICATION TO Address <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 Telephone Number <br />24 HOURS BEFORE CONSTRUCTION Date <br />CHECK LIST Fee <br />Water Valve Drainage Dept. Approvals <br />Curb & Gutter Engineers <br />Sidewalk <br />Water <br />Sr.... <br />