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EVERETT, WASH. <br />� - Approved Cy <br />�.v�,4�ey'J' / �y3' <br />The Undersigned TQ�CCJ____ CQi�.�'i %%2L%CTIQ/� CQ,- — D�Approved � <br />Hereby applies for permission to CONST2LICT /� ZJ� �`l i✓:^ /-?:: f"i%`:= -/' �f�`/ _ <br />At the following IomFion � ea / 6c VF,eL Y bL �/1� <br />SKETCH <br />IWork to be donel <br />MIiD1SO�V <br />ST <br />,:• <br />The undersigned owner hereby agrees to hold anG save harmless the City of <br />Everelt from any and cll claims (er uamages thaf may arise because of Ihe <br />installalion and ^ci��ienance of fhe improvement hereto applied for and <br />(urthei agrees to remove same upon nolice from the City and to replace all <br />pub�ic properly damaged thereby. <br />DkiYEWAY SECTION <br />NO SCALE <br />� LIP � <br />, , „ <br />30' __ 2rJ _ 30 <br />3-6�73 <br />C�{:L' <br />Inspedor's Si�'nafure ` <br />� � r�l��y�� <br />,�T.< <'i�/�.-r.F/� �� -/g-71i <br />Onte <br />Remarks <br />NEW ASPNALi <br />DlZIVEWPY <br />�,'� � <br />� /-' <br />k�;'7rs <br />u.) <br />> <br />� <br />� <br />� <br />0 <br />Variance Requirec: <br />Yes...... <br />No...... <br />' qF PAV -- <br />(�xis� �►� <br />. /Gf c. � .' —.- <br />/ Signefure of Appliconf _ + <br />� �' ,�/ . �� ��_ _ <br />nad,e,: <br />��, ����� <br />Telephone NumExr <br />Dafe ��— ->-�� -i?. <br />-, <br />; , r- �' `%f �r. <br />/<' _ _>- -�: i, <br />,- - <br />(i�: )/�� <br />Water <br />Sfreel_ <br />. Fee <br />���� /ci�iG'�,'�_. <br />DEPT. APPROVALS <br />��� /2—JCy �� <br />�:.('..v. , /:' .C`t:1�cJ-%`�-.� <br /><.1ti � <., .�L�_,� .c i„ <br />r r > :�� <br />" � _ "c. <br />�.; � l � <br />`�(i� .._ . �.—,;r:. _' <br />... _ . _.. _.. . ._.......... .. <br />'I<,I.a','IJ� �O'• � <br />_, :� :�13 ` NC7''� `PROPER QRAINAGE <br />CHECK WITH tWF�'iER I i <br />--'1; DEPT. FOR WATER LINE � <br />�'� I.00ATION � QEF�;E EXL'AVP,1lUf! � <br />. � <br />�.�o ..� . <br />