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EVEREl7, WASH. � �APProved 8y ' �/ <br /> s '�!/_O '" 7� <br /> The Undersigned -- '� t-���=^ �•����:�T.' '� ^. Date Approved <br /> � r..�.�. <br /> Hereby appliez for permission to � ''� - - :_ L `"'�t:Ti+�T3 LY �' ;.• t i"'x=�,t '^i <br /> At the following lomfion-�� � j L-��-�°v �^:�� <br /> SKETCH I <br /> (Work to be donel �'`Jp-rr�- : S�F p�2t�4 iT <br /> No �,y - (�Z �oR PLA�v7�n'L <br /> :v4�E ( �i A�!. o��.� 1�.�'1 c_r1��-Z�LI�TZ <br /> -d LT� �R'.rz <br /> a`h <br /> N <br /> r POIZTR�9►-Te PLAIJTL�� 43J`/.. <br /> F {LELOG+TED �P_DP� Z8 f(o ROr=KE�-`CLF�. <br /> 3 <br /> �, - -_= <br /> � --__��— _ )-\GH-r�i,� �1 -- —�� ��tz6 '" - , . , — <br /> GOMti+uNlcAjrewf ��� q�, �Dp� <br /> �=0NOU1'f 7 <br /> � _ _ -. _ - �---c�-' <br /> ���� <br /> - - - <br /> Thc undcrsigned owner hereby agmes to hold and save harmless the City of Variance Required <br /> Everetl 1:om any ond ali claims for damages thot may arise because of the <br /> in:talla�io� and main�enonce of the improvement hereto applied (or and Yes _.. ._. __... ._..... <br /> forlher ag�ees 10 remove same upon notice from Ihe Ciry and to replace oll NO - - � � � � �-- <br /> pubiic proF�erty damaged Ihereby. <br /> � �� );' , <br /> � ORIVEWAY SECTION / � � -/ <br /> NO SCALE <br /> '� .r.�-� ,�� s �%�'�r-�. -� <br /> ` $ignaWre o/ Applimnf <br /> � I P � .� /S -iC� '-'1.,K <br /> Addreis <br /> 30" � 30" <br /> � �� S'7- (�'�7G� <br /> �„ Telephone Number <br /> .. �_ ��• r .,+.G � 2 i� 7`� <br /> Dafe <br /> �O.nnl�tl' li^ '.�" '7'�✓ �C>r ��tc , <br /> Inspec or i Signafure � � �O ��� <br /> � � � � �(� <br /> _.71� Cr16^/�i' � 5�J/-�l% �-'� �Y_ o�t ZI �u.L.- y Feo <br /> t <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks > � <br /> Engincen � i ��� ��:�:� _ <br /> Walcr � l%/�"M+ <br /> Streel � i �"�_ . .�i-,..�:.«'-� . <br /> Communications- � � � "��' <br /> Tm(fic^r'-� <br /> Planning � ' <br /> PROV!DE F0� --- � <br /> Cal! Engineering D�,t. 259 SSIs' ' NOTE � <br /> 24 Hours before CH�=CK WITH UJATER �'f;OPER DRAINAGE <br /> cons+ruction IS S�drtCd. DtPT. FOR VJATER �INE <br /> ! ; IOCATI0N5 �EFORf. E>'('AVATION ^ � <br /> w:+ t i <br /> " vc-s �' AKO+��. <br />