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EVERETT, WASH. � Approved By <br /> r� , '/ _ �, , <br /> . ... / ,(���J"rI�/ /\� . .���� <br /> The Undersigned '�'��' - � f• '� ��O A N f� �ai� Approvr.d � <br /> Hereby applie� for permission to��'✓_�T�`1� �- -�c J� � � �C'�y'�� i:. T l.'/'/l/� �/9 � ___ <br /> At Ihe following location_ �� � � �. ':a ,' �' '' C j`= .1//t' 1 (//'r <br /> SKETCH � \ <br /> (Work to be Jonel � <br /> \ <br /> �� <br /> � \ � -;. <br /> � � NEW ' � <br /> � <br /> � ; � � � <br /> \ � DRIVFWlt'/ � :�-, � � \ <br /> , . % <br /> %', 4 ; <br /> � �,� = " � <br /> . � � , � � <br /> = / <br /> � \ <br /> � <br /> �,- <br /> . <br /> ; <br /> , <br /> ��' � �\ <br /> . ,= <br /> - v�, ,. <br /> ,/ \ � <br /> �� � � \ \ <br /> G`'' �� <br /> , , , <br /> ' � � <br /> The undersigned owner hereby agrees lo hold nnd sare harm�ess Ihe Ci�y ul Varionce Required <br /> Everelt (rom any and all doims 1or damuges �ha� may arise bemuse ol �he Ym <br /> ins�allation and maimenance of Ihe improvemenl he�elo applied lor and No <br /> (urlhn.r aprees to remove some upon no�ice from ihe Ciiy and lo rep�ace all <br /> public properfy domaged Ihereby. <br /> DRIVEWAY SECTIO'1 � � <br /> )C. .'�it� ' <i � � i � , <br /> � NO ��E� Signalure ol AppliraM <br /> � . <br /> ���� �IP � � ( � . .. � � , , _ �, <br /> Addrers <br /> �O'�I� n.�� _ 30�' <br /> � �. - <br /> Telephone Number <br /> , � 'n ^ , <br /> .�<' c � / <br /> �'�„� \ ' d"1 ' I ?7 , / � . Dals <br /> � ( ✓ �� <br /> Inspxlor't Signaluro �'- S �'�"� �.��� �7 _�_ , <br /> -�—� Fee <br /> SiT,f� C..vi- /C� =<.� /,:� ' , <br /> Dafe '' -� ;� �°):.�.� <br /> D�T.�A�4ql� <br /> Rema�k� -- - — — . /!� 1� , �- _ �/ . <br /> Engincers ____ <br /> Waler r !-�- y"- J�'_ <br /> Street ,�t.�.� r.,-.....1�.� <br /> r— <br /> CommunicaliomTE�+�'. � - � �-9 -�•.��� <br /> TmFfic � ��.: � / � �. <br /> � ----- Planning � _ <br /> r�.i� i. - r'' . . ,, 1 <br /> � � � iJ Uf<Y. LkGAVA'1 "' <br /> ,� <br /> ..� ...,� <br /> ...�, � <br />