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,_ _ .-. <br />EVERETT, `NASH. — qP� d gy <br />The Undersigned ---���f S �S/'�P������ ��/V %r�'i� JP.nT—� ��(l�4 _ <br />Date Approved <br />Hereby applies for permission to��"'F��1� �[=.. !�% %%��S (���I %� L Q ^���L �i�� � � � � / <br />Atthefollowinglocation �YC��"`-�'%" ��%�G.�. y��-��C ef�r�f�� <br />SKETCH <br />IlYork to Le done) <br />� �,,; f V0 � . �I�` �' '.�� :. <br />, � .:. <br />h ; � � "' `� � � {_', <br />/'t o i � U .� . `'., � . <br />%) <br />� d.1 � �-._.-_-° <br />� I �_ uY � .,.�--'�P <br />,v <br />�� � �� <br />. 5�� <br />_- -- ; <br />f �OVIDE FUR <br />; <br />�I <br />i i�:O�ER DRAINAGE � <br />� �, <br />._. .__ ...:...,.-s�:J <br />r�FF�G .Qurra.�s <br />� 6v/-/ir� Lil n/E /_ln/.� <br />�t�aeo�aic <br />s¢' <br />0 <br />/ . � <br />� A �- <br />vA� � <br />�� �_ " °,,��• � <br />� <br />The undersigned owiror hereby agrees lo hold and savc harmless the City of <br />Everetf from any and all daims for damages thal may arise because of the <br />installaiian and maintenance o( the improvement herelo applied for and <br />further agrees lo remove same upon nolice irom ihe City and lo replace all <br />public properry damaged Ihereby. <br />�i7•-�-�iz.� ' "v..� _/../--.- <br />Inspecloi $ignalure � <br />% <br />9/ � /-; � <br />Dole <br />�t/F,;�� �'_ . .'-' O/av; <br />cueeoeai� <br />• No.r� <br />sET L/NES FO,� SulF1LEf 5/-oF'r <br />O�W.t/ '1 9S EGCH H�GY FM ✓ To E <br />coM,oec�; To 9sif <br />3" <br />� REn��a vE 'I swe�e <br />��J�'i �'.=.��::JL.U.L i� <br />!�d Vi �C� <br />�::c`Cj �1'-Q C� � -D2�✓�S. <br />d'LL�JE L ��E- <br />/i"�'LdST�� BUTTo�1S /O�KSa' o.c. <br />' MA,�'k', I�Q it"��nJ. <br />Engineers <br />'�Waler_ <br />Slrcet _ <br />Traffic _ <br />Plonninc� <br />Variance Required <br />Yes....... _.. _ _ _........... <br />No.__. . ...... ._... . <br />Signalure of Applicanf <br />Address <br />iefephone Number <br />Dafe <br />$ <br />Fee <br />DEPT. APPROVALS <br />