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CITY ENGINEERS o <br />EVERETT, WASH. v <br />Approved By <br />N2447 <br />The Undersigned e- / O Ai Date Approve <br />Hereby applies for permission to_ re, q T T F? , r^ T' A P) AsF tl DZW <br />At the following location 7-- 7 GF_ R N t,- j7. <br />SKETCH <br />(Work to be done) <br />.r. <br />undersigned owner hereby agrees to hold and save harmless the City of <br />eft from any and all claims for damages that may arise because of the <br />nation and maintenance of the improvement hereto applied for and <br />er agrees to remove some upon notice from the City and to replace all <br />is property damaged thereby. <br />Signature <br />v <br />Call Engineering Dept. 259-3803 <br />24 Hours before <br />construction is started, <br />Q <br />Q< <br />IQ <br />Variance Required <br />Yes..... .........--.------- <br />aJNo........_........_....... <br />W.4'•:1 �.SV_ SEC <br />0-113_. scat:) <br />,f n <br />— 6� -7 <br />Telephone Number <br />Date <br />Fee <br />DEPT. APPROVALS <br />Engineer: <br />Water. <br />— Street <br />Communications <br />Traffic <br />Planning <br />PROV17E PROPER DRAINAGE 1 NOTE <br />CHECK <br />TDEPT. FORb,ATAR LINt <br />LOCATIONS BEFORE EXCAVATti8N i <br />N <br />69�x <br />