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�� .KtrT w,�sf�. <br />. . � _. _ �._. -1 <br />n�F�o��d sy <br />J � / 1.-� , .;� •T <br />/�y ,/ � �-- i•�!/)�': " [ i <br />Tne Undersigned �� t�- �" L; I l�- t G'j rt pl7 r(� : Daie ApprovEd <br />Hereby applies for permiuion to � n�a � "�- !7 ��' � �. w �; 'Lr'1 �.• nE �) !�� Y� �"�+� ? <br />At the follow'mg location., %(� ( %r.f � r.� � c n l.( <br />SKETCH <br />IWork to be donel <br />Z2 <br />� <br />' i � W p-F,er Vy1 E'�ey �J e X <br />_ I�� (je NeU1C�1� �V <br />. _ . _.. , i_�.•..i.�'a--� S_ -�__._;�..__._�'__ _ <br />VJC'nl e � <br />! O Cl t.5/ C @��C �. <br />I <br />-- � q _ 1 . <br />The undcrsigned owner hereby agrces to hold and savc harmless thc City of <br />Everelt from any and all cloims for damages Iliat may arisr. because of the <br />insfallafion and maintenance of the improvement hereto applied for and <br />(urlher agrees lo remove same upon natice from Ihe City and to replace all <br />public property damaged thereby. <br />I GH.4V.Et�hY.��.SEC710N � <br />(i�l�.--�SCALE� <br />� <br />; Sa'•�,i 1 �� <br />' ���� ��v +..�..���+��.�.��� -_ f^.L"J7� <br />.L� �:.F� ),%- <br />i ��;_"_ <br />j• ----i <br />inspecfor's Signa!ure <br />, ;,—/'T.� '.�i�t�.c�ri� �`—'i.,�'�l/ <br />Dafe <br />I;�il L�t�.mccring Uep;. 'L59-&E303 <br />24 How's befor2 <br />construction is started. <br />5rr�('0.1Qi1/ <br />.yy. � r'. ..j <br />d �- ' <br />_�— <br />Variance Required <br />Ycs. _....._.... __ _....... <br />No.....__ .....____.. <br />� Signalure ol Applicanf <br />7=� � � <br />Address <br />�;��-' _ �. . �— <br />ielephone Number <br />� <br />�_; - .. _. <br />� Darc <br />$ ,t� 0 F�� � <br />Fce <br />DEPT. APPROVALS <br />�. , : i f � ,� i i <br />Enginecrs _�.--.=���`, j,/ j�-,: u,'� %� <br />,Wuler-- ����—(��9—n�1 S�f/ ��"� <br />Slreel �� � � -��� <br />Commu cahonsl�""`'�-i�' ' <br />Traffic ��' r'�- y � .� , .. <br />�Planning. ___i—/1� <br />" J J .. -'_- <br />` � GR ' f :L�T[ �--. __ <br />;'!;�V;G: � <br />P;?OPER DRAIiJAGG ��'�4CIC WITH 1'JATER <br />f?IEf'T. PO"n N'A7ER LINE ! <br />� l.�`ChI{pPIS D=FORE EXCAVATIC�" <br />