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_—�_� <br /> EVERETT, WASH. Approved ey i <br /> � <br /> The Undersigned -�' = _ �__ - _ - — � Dote Approved � <br /> He•eb a lies for ermission fo � ��1=�-'."�� '�-'— F-t�.1 - = � - -• <br /> Y PP P '- c: ' 1__ - r 1 �' --�r.� - � �-.� ->c -,,, . , <br /> Atthe following lomfion '=� �'� ���=-'v/!-_''/ <br /> ��7 C�;'�a;^JJf�'� � ' , <br /> SKETCH <br /> (Work to be donel p����,,.�_ � <br /> � -�,-_ . .,r,�_+-+� i .�c <br /> • .�,•� ' ;_iGH"1JG CONDU�T <br /> _ } _ _�--- 1 — �_ � P � <br /> a ' <br /> �v' --� — _ — r� — — — — —• <br /> i -- � �, — <br /> � ' � <br /> I <br /> � cP�"fr I <br /> ' C ��N IC . <br /> � O�Z <br /> \ <br /> �, � . �� �I , <br /> � <br /> , � � <br /> - 2`� 23 zz ; <br /> ---- —_�_ � � <br /> AL.�.Gy <br /> 1 <br /> /�c. - 7 <br /> The undersigned owncr hereby agrees lo hold and save harmiess the Cify of Variance Required ' C���-`_ <br /> Everett (rom any and nll claims for damages that may arise because of the <br /> Yes._._.........__......... <br /> installation and mainlenance of Ihe improvemenf hercfo applied for and Na <br /> further agrees to remove same upon rrotice (rom the City ond lo replace oll � <br /> public property damaged thereby. /^ I��� 1 �� /`� <br /> � d <br /> DRIVEWAY SECTION ���'�IQ�«N-- 4^Vu � / �- , , • <br /> � SCALE � �,�-P Y ' d / L «�_ ( C. �i�u �. �I't: �L,-t�t- � <br /> � ��,�, Z� �J � Signafure o( Applicanf <br /> C ) <br /> I" LIP ,i.p �Y� , I �^ 1 �� .� L� ..2 :Z ���1'�-cr¢r-�c.�� 1 <br /> I _ U Addresi <br /> � 30'��� 30" 'j", �7 <br /> ►T• =j � �L" '��.. J �_.zr- ? - �/ `�y � I <br /> � Telephone Number I <br /> � � - � J ? �- <br /> Dafe <br /> Inspecfor's Signalure ;� ; -� � _ 5 �/�7 1--�'�' I <br /> i <br /> Fee I <br /> Dafe <br /> DEPi. APPROVALS � I <br /> MACHINE MUST 8E KEF'T AWAY F2.� M i <br /> Remarks <br /> Engineen <br /> CO���J- Water I, <br /> UN��E� G.�O(JNC� L/G/�T/A1G st�eet- '-�•: �:' , -�...-� I <br /> — �, - <br /> Comm ications �2`����N%.-r.-*�='�-'-'_��` <br /> Trcf(ic � _ <br /> Planning _ I <br /> "!1 '�� � AKO��. <br />