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The Undersigned <br />Hereby applies for permission to � %%� c - ��` - ;` ' ! - � �/�'� <br />At the following location � n'%' `� �'��� '�� = ���� � � <br />SKETCH <br />iWork to be done) <br />'� C Y <br />' ._ th <br />\ <br />� <br />� °c � <br />P. O A D <br />� --- __ <br />� <br />i�,•1,VSeg�A�'rOrR <br />�-- <br />1 / . - . . -.:_.�. . .. . <br />/VOTc ` <br />/F u ('��� T,�P �/�tG ��- /s /,�/r�/�!/ <br />TiyE S/DFyY'; 9L,.c,� ,QREt? /T S/ibUL.O <br />L'E �'/C)[/C,!'J T.': CG'1'"S/U .r �DG.<� <br />The undersigned ownen c�reby agrees lo hold and save harmless the Ci�y of <br />Everett (rom any and all claims for damages that may arise bemuse of thc <br />installalion and maintenance of the improvement hereto applied for and <br />(urther agrees to remove same upon notice irom the City and to replace all <br />publi: property domaged ihcreby. <br />Inspecfor's Signolure <br />, �'ir,= �:��GLc.'Ei� %ii4/�� <br />Dale <br />Cail Engineering DepL 259-;;803 <br />24 Hours hefore <br />construction is starltd. <br />_' --'�.._..___ _._�—.--_----� <br />��:�Vii�� r�f� ; <br />PROPEfi DRHINAGE ; ! <br />.;poroved By <br />Ca i`) <br />�).�:�Jr�.jf��Gic;� �� i <br />Dafe Approved T— <br />Variance Required <br />Ycs_ _. _...... _....... ..... <br />No.... ..�....__.._... <br />����-�'�V. �,�:�_ � _.�.Q, �_ ,�� �i <br />� Signature ol Applimnl <br />r[�. [�8"i('STit'�N <br /><7 C �� �A/J/ � 6 I✓ /�: �i , <br />Address <br />Telephone Number <br />Dale <br />�D T" �.=l�.- <br />Fee <br />D T.�,PPROV/AiS <br />Engineers �— ��, -'u�-' � •�� �// — <br />Wolcr -��� AL�' 7�'"/4'-7/ <br />Strcet <br />Communiwtions °�� � ' � �y� '�� — <br />TraHic �� �' ;j � 9—/3�'7/ <br />Planning �`"%�I"� <br />�'7�.Q��� . <br />c-���c�< tviri-i t�ia-FR <br />o�PT. ro!� tivnr�r � ;i,�� <br />LO(;A71�NS BEFORE EX['•••hTlc��' <br />