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CITY ENGINEtKS <br />EVERETT, WASH. / / Approved By � <br />G — �— 7� <br />The Undersigned <br />SA��%i'� ll� �/`� �= ���I �L i— Da1e Approved <br />i <br />Hereby applies for permission i� C d�J '� 'i'fZ U C' � 3 W� �� ���%'t'��- ��� — <br />S/ i��-r.)�1 [ l�.. <br />At the following location <br />5 iI� /� t.0 i, ,ctt G o <br />� <br />------ — — ------- - ----- -- - - - - - - �D <br />� 1 /` � � A/ K. 3 � <br />The undersigned ov. �er hereby agrees Io hold and savc harmless thc Cily of <br />Everett from any and all cluims for damages Ihot may arise because of Ihe <br />installalion and ma'Nenoncc of the improvement hereio opplied for and <br />further agrees to remove same upon notice Irom Ihe Cily and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I'� LIP <br />30"� . �.� �I <br />c„�..�k /� - 7- 7% �[.'y,, �i��c-c� <br />Ins�i s Signafure <br />/ , <br />� :�n rAa�ti-1' L.^ =i "/</ � � //,;;-:. <br />Dofe <br />Call Engine2rin:. " • _ tl <br />24 Nnurs � � <br />COliSfNCfiCt1 IS�. <br />� . <br />r.� v �=�- � <br />_. ,� .^. f <br />' i�:��'�. <br />�fIECK WITH WATER <br />D!-PT FOR VdAT 4 Llf�: <br />�,...� flr�'�'� : z r, f� I-�<; 'c,Vqll(1N <br />Variance Required <br />Yes.. _ ..__.__.._ .__. <br />No_ .._...._._._. <br />rE <br />1 � / <br />��`• : t l L-�: � <br />.� Signalure of Applicanf <br />i <br />-:�T ,�� n�t I 4'0 (_ ,,:, l'.. �' �1.�� y��iet•(� <br />Address <br />,,��! -/ �%-�- <br />Telephone Number <br />�� A I/ 'i / � �-� 7 �� <br />1 Dafc � <br />s No �E�.. _ <br />� r�i <br />,j)� �' l`_ <br />.. . ''.... Fee <br />DEPT. APPROVALS <br />i <br />Engineers <br />.�<ti �/:'��--%- � <br />Walcr .e_ <br />. <br />Street ' i�Gt , i-. r� = �. � <br />-%=.., . �`.� <br />Communicalions_i"� — <br />"'`- ' <br />Traffic <br />Planning ` . '- <br />�'ROVIDE FOR <br />�I'ROPER DRAINAGE <br />f----- - •-- � <br />�._o..�. <br />