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CITY ENGINEERS �� !� , ��1 <br /> EVERETT, WASH. — l Approved By <br /> .4���A � /�%3 <br /> The Undersigned�' �"t�"�r' ��)�\�—C�k�1�-- Dale Approved <br /> ' 1 c � G �'-, ti�`.' I.l F�-.' -1 <br /> Hereby upplies for permission to � n�S�� �—�-- � � � � � � n — <br /> At the following location Z. � 1 O �A' 1{��)�—i� 1 �%'� �JJ.7 <br /> / <br /> SKETCH � <br /> (Work to be donel � �i \ <br /> I <br /> I <br /> --� � , -.i ���� �� �� �„ 1,._�oi <br /> ``il / <br /> i <br /> � ��L <br /> � ��� � <br /> ��� , <br /> �� z5�� <br /> � <br /> \ LoT � � <br /> � Pn � <br /> � V � /� � � <br /> = I �J �� <br /> , � , � � � �� <br /> , � <br /> A �; �. c <br /> u (ti5 <br /> The undersigned owner hereby agrees lo hold and savc hormless the City of u �i� � � ariance Required <br /> Everett irom any and oll claims for damages Ihat may • rise 6ecause of the �� /� �� Yes. __.____.__....... <br /> � � � <br /> installation and mainlenance of thc improvemenl hereto applied for and � No <br /> _. ._...__ ..._...... <br /> further agrees to remove same upon nolice from the City and to replace all �� <br /> public property domaged Ihereby. �� <br /> � � <br /> DRIVEWAY SECTION ' } ' � � <br /> Lc e��.l.. G�Gr/ <br /> NO SCALE Signafwe of Applicant <br /> �---- 2 3' <br /> y�� �-�h«4� �:��-- <br /> i LIP Addr s� <br /> � 'c:+�•� — <br /> �30" � �_30"_� _ '77 9—����$ x� <br /> Telephone Number <br /> � � _ . � <br /> :,�., � i — ��-- - �, <br /> ... • 'J Dafe �, <br /> �,,L¢/o <br /> —�� � -s-- � l <br /> Inspecfor's Signafure s �� =� <br /> ,•� CC <br /> � . <br /> Si T'•r: C'f/cCiC'Et� /3/ -X3 �r��� �7 :<r�< F� <br /> Date � J��'/- �' ' <br /> DEPT. APPR V LS <br /> i � <br /> Remarks Engineers' � �� �� <br /> Waler � r��_i�' '�" 7 `' <br /> > <br /> Streef � _... . . � :. ..,�.. ._ ....._, <br /> Comm�����Y��. "T,?. C�.:-::.. ;�. - <br /> imffic ;�`'�_ _ '' �.. <br /> Planning �� � <br /> , _ � ,.,irH GvnTeR . ,, I , <br /> . , �. ,. ,�: \ <br /> \ � AKO•�. <br />