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QTY ENGINEERS ;��� � <br /> EVERETT, WASH. / Approved By <br /> / � 3 iz— �'y <br /> The Undersigned �/ M�,1� �/°.�I�,�c,(�<'h' Date Appro��d <br /> � i , <br /> Hereby applies for permission to����f�"�= � �� �/�•'�r �� ��� <br /> r <br /> At the foilowing location 4 � % 2 P��t[F��L1�k� .;��' ��_ <br /> SKETCH l_p—r SO <br /> IWork to be donel <br /> i,�r:.., . . '��:)c... . <br /> 2 8 � z No <br /> �1� <br /> � � <br /> �/JAT E R <br /> VALV� - - <br /> �+PPRox. <br /> i� E �fu� <br /> s��wn� � ,`; <br /> GUC2e4 � — � <br /> I �'Y <br /> �-� � � � � <br /> �O• <br /> 'i�P-�va.v���,�, � �v� . <br /> The undersigned owner hereby a�rees lo hold and save harmless Ihc Cily oI Vnriance Required <br /> Everell from any and all claims for domages Ihat may arise becouse of the <br /> inslollotion and maintenance of the improvemenl herclo applicd for and Yes_. . _.._.._...__..... <br /> further agrecs ro removc samc upon nolice from the City and to replace all No.__...._....... ....._.. <br /> public properly damaged thereby. <br /> / <br /> / <br /> DRIVEWAY SECTION �� ��� � � � ' <br /> � r,- . i . <br /> NO SCALE /,ll�z�r � G���'tl<<"r <br /> � 2 O� � `� Signalu�e of Applicanf <br /> / i <br /> I" LIP �_. � ' .��iX�����' :1��'lC4<�::�� G: _ <br /> �-i Address/ <br /> 30" 30" �ii� / ✓;`. ��fj, <br /> L <br /> Telephone Nu/nber <br /> -� - ��,� ,� � �>�� -- y� 5 � , <br /> l-�_ .�._ o'-u- , E� � � . <br /> Ins eclo�e n ��%. <br /> a s E /D°U-�ir� //.9 �/1 :i -�l-�5 <br /> / / ? ^c <br /> Si�e' G//Pl.L-d 3�7��9 F�o 2 -Z�'.��� Fee <br /> Dafe 12,�h <br /> DEPT. APPROVALS <br /> Remarks � <br /> Engince(s: / �.'�•' �C•• j�:;�'Y. <br /> ( �, i �`T'1�' <br /> Wafef v <br /> $trcet .-f. .�. ( i'� -yw"L - <br /> Communicotions�% <br /> Tmlfic N/"�1�i..� � <br /> Planning , t �d � �Q`� <br /> —' - _ ---I <br /> PROVICE F iilt ; <br /> 1;all Enqinecrin� D;r� ��,� �.8(�;1 PROPER DR��Ir;.�.�:,C � ;�'�i E <br /> '�� r,���=.cK w�rH wAT�_« <br /> 7.4 Nour, b_i.��� U�FT. FGR 4YAT[R L!:,r <br /> �onstructj�n is staried. LOCA710NS E�EFORE EX�q;;,il,,�: <br /> , � ..., i_ .. .' .Ko.�. <br />