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"�L'veretl <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undcrsigned � <br />Hereby applies tor permission to <br />At the followin� location_%_.'��/ �+4 � � �� � �"-' <br />� <br />SI<ETCH <br />(Work to be donc) <br />X <br />� <br />�O 1 O� <br />PERMIT N0. —_ ' " ' ' <br />� . /.! � ' i'�-.`.' <br />� '!. ! !-- -' '" <br />/. � <br />. . I'. .. � ' \ � � <br />, <� � <br />� ... ; i ( / f..n�. , i� ,i�.. <br />. . , �i,�l:c7.i, � . <br />- ;� .� ..`.. � � . � . <br />� <br />�- ., r - �-'�-�'_.. // : <br />� <br />� q <br />I. � ' . ' `.1.... .' ,' �D . <br />1"= -- l�^ � <br />- ,r��/ a�� _ � i�'; <br />l C , �r -:: _—�-��`,� �h <br />, ---- -. <br />,,. -'`-t-='-�:_ -_. : <br />Y. ^ i _ � <br />, f y t ... =-�`_'-4 <br />. t � � i .. , ' �_�� � ��-=�.�� <br />. , - ..� � ' . � . li �'_'_"' _-. <br />, ' , r -) <br />� 1 '/ �'� 7 �, � .�., r�c '�l.. i .. --. . <br />DRIVEWAV SECTION <br />NO SCALE <br />� � <br />�" u F <br />30'�_ __ . �g�„ <br />,. ,'., r <br />C PO V OF THIS APPLICATION TO <br />C�E POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�£3817 <br />24 HOURS 86FORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />S�drwalk <br />� ; �,� �' '/5�'_r�,�� i�% <br />nspector'sSignature � <br />�//_ � % ,/ <br />at-b e � ' <br />i'3`i�lY i� f��-: ^v w�, -a� : v� ::-y,' G C <br />flemarks i,�,r:.�:-. .-.: �i, i co,<�5 c'.,/(. <br />Note: � Original to wstomer <br />, coPY ca ��i� � (j �'r3 �' <br />1 Copy t� � Inspector "� <br />i4.:: <br />_, The undersigned owner hereby agrezs m hold and <br />save harmless the City of Everett frc�n any and all <br />claims for damages that may aris� becense of installa• <br />tion and maintenance af the improvement hereto <br />applied for and Turther agrees to rpmove same upon <br />notice from the Ciry and to replace public property <br />�,� f damaged rheieby. <br />r� .. -1� � � � � Z',�._._ . _.:_- - _ <br />f``�;.�`j�,�;, ��,Signa�{re of,Applican[ <br />-f.,j�( � .0 ��:i.1 <br />Address � � � <br />1 � J - <br />Telephone Number ��� <br />!J"% - ''I✓ <br />Dnre i <br />,_ �; i� f� � <br />Dept. Approvals <br />Bngineers_ . <br />Communications <br />Traific_._ _..— <br />Approvedby,7�-=�--- i °����� /_ -y/- <br />�=c�.__._..< /.7�-c�'—„Cf- <br />Date Approved � � -� <br />:�i' <br />