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EVERETT, WASH. <br />Approved by <br />The Undersigned Q es G!!F-2 �� ���� ^,� �"_� Date Approved <br />Hereby applies for permission to i7C Q 51T2 _ E:8C., 1�t"I�T! <br />At the following location 3 n 4 <br />SKETCH _ L -- ----- - --- <br />(Work to be done) <br />Fx. coNC. WALL <br />�0732 <br />I� U St <br />nLcVv- <br />3c <br />�W � wQ'T�F= 56RVIG� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE i <br />CA eC2 -ret eCoAl //-Z7- 73 <br />Inspectors Signature Acll � /7 <br />5/ ra: CWEc f<ED to �-73 '� <br />Date <br />�>o IV <br />7- cJ�l//LD I IOCK-I RY <br />4--) '15 T//,6 ��Pi //c E //ECK <br />F-D6E o r= <br />PA \/ 17- <br />r� <br />\ I <br />I � � <br />I---63 <br />sF-C+"TI C, N <br />Variance Required <br />Yes_..__.... _.. _....... <br />No_..................... <br />"! Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Fee <br />I o -'Z 3 <br />b <br />baler <br />Street = r <br />,'(-.� Traffic <br />jc-3/-7 <br />h <br />0 <br />AKa .4. <br />