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Irk <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies to <br />At the following location Eat <br />(Work to be done) <br />11'00 <br />1 <br />DRIVEWAY SECTION <br />NO SCALE <br />1301, I I" LIP _� <br />COPY OF TEIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />LENGICALL <br />NEERING DEPT.259-8811 <br />20 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb R utter <br />Sidewalk <br />( Inspector's b u <br />—Mate <br />o <br />Remarks 11207 <br />PERMIT NO. 70 -11 <br />The undersigned owner hereby agrees to (sold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />lion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />da er f <br />2+ <br />ignature of Applicant <br />6d rA d 7 <br />Telephone <br />Date <br />r---- 7 <br />Fee <br />Dept. Approvals <br />Engineers__ <br />Communications _ <br />Traffic _ <br />Planning _ <br />Approved by <br />