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EV[RETT, WASH. Appro�ed 8y <br />. _ ;;, % <br />s i ' % <br />The Unaersigned c- � V'iC'_t-�( i S+C� ^-� Da�e Approvcd <br />.� � <br />Hereby applies for pennission fo `-- �-''`����� � �'• ` �`j' � � �"�'� n "� �� ���`��`� <br />At the following location <br />(� � 2�"> �1�/l % � � d �� c',� 3 3 . <br />SKETCH <br />fWork to be donel <br />__ i <br />� �. � �; /_ O',!i. ��- <br />� :� <br />y,, <br />Thc undersigned owner hereby agrees lo hold und savc harmless the City of <br />Everelt (rom any ond all claims for damanes ihot may arize 6ecause of the <br />installation and mainfenancc o( the improvement herelo appfed for and <br />fu��her anrees to remove same upen notice fram the City and lo replace all <br />public property damoged ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />— 25' <br />I�� LIP <br />30'y� � _�_30" <br />Inspectois $ignolure <br />�.� ��O � �r �., ��L �� (^r� I � ' `�' <br />Dafe <br />emorks <br />)�.��� „' i , <br />. � <br />'� r.-.. , .. � .. <br />C�I! Engineerinn Dept. .5:��n�:P"'. <br />24 Nours beiore <br />corstn�cti�'°�i� started. <br />l'� �,i <br />.�a� � �'� �°.� v �r <br />� � % <br />e•j' , <br />.: v.,. <br />C;iLi:ti .r!�`'-i i'(t.-. <br />oe�_ Fos tira�":.��:.: <br />�i�ti.A'ilON3�'K'ORE : ?:; a ';:,; :OCv <br />' No <br />� Sc.F,� c . <br />Variance Required <br />Yes.__ _.....__._....... <br />Nn.._ ._ ___._........ <br />.�---����-�.��-�•--�=�- <br />/✓�3ignalure o/ Applicanl <br />, <br />�,,��_ r- h..if1G1.1-)/:'� <br />Address <br />,' >��'�/'> 5 > <br />--�phone Numbe� <br />� �; � <br />.� � r.` <br />Dale <br />.<<=' <br />g �o-� .-'-.." � C-_ -/� - "��Y <br />1L .� <br />�C`.�D ��� T+�G Fee f-1 y %f•:i ::�> <br />..d d � a __�a <br />DEPT. APPROVALS <br />i <br />� � <br />Engincers— ./ . /, :�(�.r.�.( �-�'.�l <br />\Yaler �" • ' � -L��,,...z <br />Slreet "/� ��' _�; _ .::%'�' <br />! <br />Communicalions - � `' " � <br />Tm(fic <br />,� <br />Planning �%— <br />�.`..��I-1� -�.i'�..._.. . <br />�_�Y�.�i� �J� ,k1ihl�,sL: <br />1 <br />,- �.;. <br />�_,.n-�. ' <br />,.�.,.�...- �-n,.,..--o'v'•--� � �, <br />� r <br />U:O.��. <br />