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�■ <br />WASH. <br />Approved By <br />The Undersigned I '�- ��n ��� T f`= ' L'� Dale Approved <br />Hereby applies for permissian to �� ���5 ' _ 2 - Zp � � � ) � ['; = /`:, C �t-; , �' I `/ 1 , :-> <br />At the following location_ _'�' � Z(D Ly�.i r.l t�) o ''_: ;� (: _- <br />SKETCH <br />IWork to be danel <br />�!'�Ri I-I TJP�V��f,/A'Y ,NU� ; <br />"� �/a� EXISTIl�iG CULVF,�;?" <br />� <br />The undersigned owner hereby agree: lo hold and sove harmless the Cily of <br />Everctt irom any and all claims 1or damages thal may aiise because of the <br />instollalion and maintenance of the improvement hereto applied for and <br />further ag�ee: to remove same upon nofice from the Cily and to replace all <br />public property domaged }hereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�•----2' �0 � -----� <br />I" LIP <br />j�30 � �T'3_� <br />Variance Required <br />Yes............... _ _ _ _ _.- <br />No...... _ _. .. _ _ _........ <br />._��— � �tC'' i � "_ IC' <br />/ . <br />// <br />%� .-' ' ���<. \ `� � i i 1.� l � � ` . <br />' �� Signafure oF Applicanf <br />' �� 2 �%x /cFj < <� �� r� � �� ; r <br />Address <br />=i J=''_ i � ,c' �- <br />ielephone Number <br />I � <br />/ % � L� :: i: � . .. � �- ' Date � Z _ 7� <br />j , '.�� t -- �L/L � Il.f/ � '"� J . � �.. � y Q� �I� / ��7�� i ) <br />.D e.il' �--t� <br />In:pecfor's Signaturc` � �-� "�' � <br />'� � �. . � <br />S/T-C C'/-i�CKED 7-.9-73 �Ga�,1���L. Fee <br />Dafe 7 ` (r ''! j <br />I'�I! f ur.r � I', , ,�?13 <br />;'�] It :: t�'�:e <br />c^.n�tn inri is r� 7. <br />r �,;CK WITH 1NAiCt2 <br />PT. F012 WA7ER Llf�l� <br />��"ATIpNS BEt`Oltt Ei�CAVFTfC^J <br />j DEPi. APPRO. ALS /:'� <br />' / � � /i <br />;'/,` « !' l/ .l�.iii , f ZG�-73 <br />Enginccrs ' — <br />Water r ~--'�'J�/ <br />Strcet .. �_.,..:� � 9c-..�.ii-.-.F�.`.� <br />Communications " � '�' � <br />"-� f .:-r ;�-/!ii'�j <br />Traf{it �"" <br />Planning a-� � - �`C% `% �j <br />� � �� - . � _., � <br />!'��Oi'ER Ci�,; '::,...t I <br />I <br />�` � <br />_ _ _ j -. ---' iRa �c <br />