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CITY ENGINEERS � - ` <br /> EVERETT, WASH. Approved By <br /> .,-, <br /> � - <br /> -, <br /> � - ' , � , Date Approved <br /> ' •_��. � � -� <br /> The Undersigned � `-'� � ' • <br /> Hereby applies for permission to ��n� �� ��' I ��'� ' �� C o��! ;' F'!=-� �==__ <br />� ��2 � �EwfAY <br /> � � i -:, �#�.t 1 F.:' .1 ��_=�,, � 1��Ji.-� , <br /> At the following location _ <br /> c✓�t� .. -, - . <br /> SKETCH I �. <br /> IWork to be dcrtel ' � <br /> I n <br /> ----- \ <br /> _ _— --- _—_ :.-_ _ ------—-- I � <br /> I C�F?� V1= I';A'{ o .` ��,cr -- � I � <br /> �I KXI STlNG YAtAI_-j" � <br /> no \ � <br /> ScP!" I '_o_t 135 <br /> �' / \� <br /> � / L��� <br /> 3° A�c� <br /> o�a <br /> �s/o�c��9c.,� <br /> \ <br /> 3 � <br /> -- � <br /> _`__— ----"- }�A��.�Av 1 C-��_) �4-�1 fJ . <br /> The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br /> Everett from any and all daims for damages lhat may arise becausc of the Yes..___...___.._...... <br /> � insfallation and maintenance of the improvement herelo opp�ied for ond No_..._..__._............ <br /> furiher agrees to remove same upon nolice from the Cily and to replace oll � <br /> public property damaged thereby. .'� � <br /> / <br /> DRIVEWAY SECTION X �,�,.� �i�/,�- � <br /> NO SCALE ' Signalure of Applicant � . <br /> �----- z 5 ---� �� 3 �� �� <br /> � f��� LIP � aa est"'-- <br /> L �',f- il' -t,�L<_"ttGr. c_. <br /> I 30'�, 30�� <br /> r =r� �/ _ t(�' �.5,.. <br /> Telephone Number <br /> - Dafc �i�-/ '✓ �'i'� -�� <br /> Z- 7�— � 3 � a � .'=� �� <br /> Inspecfois Signafure ' <br /> � ��,�u L? 'y j'���. Fce <br /> 5/7"t= "i�dC_� ; = U �-"L- 73 �_ J3-�s <br /> Dore <br /> DEPT. APPROVALS <br /> ; �.�� � , �/ <br /> , � /�� j:�.,.�.. <br /> Engincers '� � ✓ - ' <br /> Remrnks Water � '�.�,'li':�'/ /:�<:..�. <br /> Street '��"�,_.!.--�. -�"'-) �''�. .. <br /> Communicalions ' 'y�' '" <br /> Trof(ic ai+'��u"L- 9-�4-�� <br /> Plannir�� ��'���'�"7� <br /> - - - ----- ---- <br /> ; , �, v ,�� ` raaT� ---.. <br /> ,�� �,ne�rin� De l. �59�t� , ' P':;_;'JiDE FOR <br /> �� Houis before CHECK wITH W,4TER PF�OPER DRAIN,4GE <br /> ,_,;,,-t��,rtiop li S�artCd, �cPT. FOR WATER LINE � <br /> - L C,nTlor!S g[FORE EXCAV�tTION ( <br /> 1 � <br /> �.,, .Ka.�. <br /> � i <br />