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--�- . <br />_.r.�..-� ._ . y._ :,_. <br />! EVERETT, WASH. Approved By ! <br />f <br />F .3'— /Z — 7� <br />� The Undersigned i� !�TI.._F� L�/ � �%�-�' ��'S:�% ��:.-� � Dale Approved <br />� Hereby applies for permission lo ����= r�`- �S�FOOT S/�y/�GT __ _ I�l•=`%�" ��� 'J�'� <br />At the fallowing location �' R ��' L`��' �� '��rJ�' `� L V' <br />SKETCH <br />�work ro <br />Nr . <br />A`'`"T �t <br />{�,a�' `� . <br />\ <br />The undersigned owner hereby agrees lo hold and sove hormless Ihe Cily of <br />Everett from any and all claim: for damoges that may aiise because ol the <br />installalion and maintenance o! ihe improvemenl hcrelo opplied (or and <br />f�rlher agrees to remove some upon nolice (rom Ihe City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCAI�E <br />— /- 2$ <br />I" LIP <br />�3C' � _ 1 30" f <br />� <br />.�� .� <br />CC/1'�-• �,`e�j �7 � � � ;(� ��.. � �`� d-c: <br />Inspecfoi s Signofure <br />�i� G cNceic�P �-s-7�% <br />Dafe <br />Cell :�i,:ifie:;i�[ : , ' � ' �4'•:?TE <br />24 HouiS ttl�ie CHECK WITH Wll1' i� <br />construCUon is Ste�ted, G�FT, rOR WATER LINC <br />LOCATIONS DEFORE FXCAVFTION <br />, , ; .� <br />.. N <br />_� <br />� K��� o�,�,�v- <br />w�y <br />Variancc Required <br />Yes__...___...__ ...... <br />No..___ ................... <br />I�l l ; -,-L`.. � �C�Lv i`I �.;^. .. v.l , <br />_ � , Y� I� i �� <br />�- 4.(�t�L��<�� • <br />fure�of Applicanl <br />�� ���,i.: ���r.l.'� I��,�li�`i� <br />��� �� h � l,�i ` <br />iolephone Nun�ber <br />�II-'I�l <br />Dafe f,�i /O > -j/-),>- <br />� �� � ���� <br />S � ,;�'�_ � t�--�_ <br />���L �� �� -�=j1a�L' Fee <br />z-y��� <br />DEPT. APPROVALS <br />Enginccrs. '<<.�.. �\� y;. 3 f I 1' <br />Watcr �%.• ��� <br />a( Shect - �� i^^'-`' � <br />Communicat�s � � . <br />r�a(r� /J � /,r": _: � ; ,r;� s�-_ <br />Planning <br />)VIC!i_ i , <br />� i;OPL=R DRAIIti,',,;F <br />� <br />0 <br />e.ro..�. <br />