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CITY ENGINE[RS ' , <br /> , � <br /> EVERETT, WASH. � Approved ey ` <br /> ' � �f— �� — z'� <br /> The Undersigned ��^� � 1� l�rl�/C��P/� Cate Approvcd � <br /> Hereby applies for permission to �-���/S7/�G �' �U� �i,�91c'� /�/�[s� <br /> Af Ihe following locafion v� Z� y/�n)P,\) It_v ) �L-111� <br /> SKETCH f�p—T S I <br /> IWork fo be donel <br /> N�.. �-, —� ��J; � <br /> �� 282p 13 � <br /> WO <br /> SGA� <br /> — — ��1 — — <br /> IU�� _ � <br /> PAIJ/�V IEVV 81_VD, <br /> The undcrsigned owncr hereby agrecs to hold and save harmless the City of Variance Required <br /> Everelf from any and all claims (or damages thal may arise because of Ihe Yes <br /> .._._........___ ...... <br /> installation and maintenance oF the impmvemenf here;o applied ior and <br /> {urther agrees 10 remove same upon notice from the City and to replace all No_............._._.._.... <br /> public property damaged thereby. <br /> DRIVEWAY SECTION �•�'-�`� ' �/� �� <br /> A � , <br /> NO SCALE ` .//�/='�i � l !llll , <br /> � 2�� � SignaWre o! Applimnl <br /> -, / <br /> P' LIP '�l r� ."° � �% r`/r�u��.;<< l�;, <br /> Address <br /> I.30�� �. _�_30��_� �'i—'� — <br /> � � .l ) L�L/_� Z <br /> , iclephone Number <br /> : <br /> =�.�� �� �,'_ , ! �>y <br /> C.:r��l� S- 2P- �Y,�,., �,�, � oar� ;�J �i� <br /> Ins�Si nalure °� ���/``� _ . <br /> P 9 S /Q _"' '�d' :'-�.-:�, -� . <br /> / y !`''' Fce <br /> -5'�C' !/'u�.�:i� . i'-,;s �.c'� 1-2. ' �`� <br /> Dale �/ t <br /> DEPi. APPROVALS <br /> > <br /> Remarks Engineerrl':. ��c'c . ..�/7/�%i <br /> � � <br /> Waler � "' L�Ot�_ . <br /> $Ifecl � ih, . �J•i c�.: �!.c/ 't <br /> �. /i _ 'i, <br /> Communications:r . _ -T: <br /> Traffic i, . L/i_�/"� - <br /> C;. .��- <br /> Planning ,. `�'"; <br /> ; rr�ovio�_ ru;,_ ------ , • ra�rt: <br /> I PROP[R DRAIIVAGE CI;��':i ��,I?�; :'�qTE^ <br /> �A Engineerin� Dept 2:� :.;C�± � �nk �:,.;�,i�i: <br /> 24 Hours 6�; I . ,,. : ,,,,. , <br /> . , ;.,, <br /> cr�nstruction i^ r +. � , a <br /> �. ,..,.r '— __A ..._..._�..�..._F :. ,_._ � <br /> --- �Ko.�. <br /> . i, <br />