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EVERET7, WASH. �� Approved By � <br />_S = .� - •�5� <br />Ihe UndCrsigneci 1� AQ' `LL�l-- `��—�'�� Dale Approved <br />Hereby applies for permission to C Ot 1S �R �c I'' ')'i�� 1�'= �>�—{ 'p,'�'�/" 'J�=,'-� <br />, <br />At the following location 4 9�?- 3 ��� A�l Ay � <br />D <br />SKETCH � <br />IWork to be donel p <br />n <br />v <br />r; <br />� <br />� <br />� <br />Y <br />;�-r�, 3���ze Gr.¢oE+�s <br />- cLENi; 'i�kZct1 <br />–�.,��r�; _- <br />cui_�,EC � <br />� 9 3' <br />I � <br />, 4943 u�' � <br />— o- - I- <br />i <br />__c��i�r+ �>»� ` <br />Thc vndersigned owncr hereby ogrees lo hold and save hnrmlesz Ihe City of <br />Everell from an� and a�l claim: for damages ihat mny arise because ol Ihe <br />installatiun and maintenancc ef the improvemenl hcreto applicd for and <br />further agrees to remove wme upon notice from the Cily and to replace all <br />public properly domoged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I�---- � � � <br />� <br />I'� LIP <br />30" � 30�� <br />Inspecror's SignaWre <br />i.r.�� i� / �-�5 '� � ;'�1 <br />D e <br />Remarks <br />, ,,,. ; .. ; � <br />`..,L ln�:.r�r•cn;i , i. , 1. <br />24 H urs ` '� <br />� c'fi <br />const�ucNon i: :; , , u. <br />_' <br />` NOTE <br />���,r�k�. _,� .., , <br />CI i;:C_: � � �' �� �k LIiVL <br />';c('i �'�'1k'i�it�� i4?�'Ft,VATIi�N <br />�_01,11�111!-.;, �Ei�i1RF i";:i�:i,';: �1�.•• <br />a..� <br />No <br />S CA LE <br />� <br />Variance Requimd <br />Yes. ... . . . . . . _... <br />No <br />� <br />�,,� ---��� <br />� C.�ti`�—+� � <br />$ignolurc al Appliconf <br />� � i�� <br />>.�:1' i - : �;;,,�;� �(;: <br />Addm:s <br />_ � . . <br />�j c�� " _.- ...' i_ � L' . <br />ielephone Number y <br />� ' <br />Dale � . ' � � , /, <br />S / �� _ _ t, i�� .?f.' <br />p 1 <br />f"-` � � ���Fee <br />9 -3'-74 <br />DEPT. APPROVALS <br />Enoineerz,Q_J,L � - �•:"L�_ - - � -'1 <br />Waler ( � �+ � . �"'� <br />Slrnet ����� �� �� ����'� <br />CommunicalionzSy.' , '��� � � <br />r__.,:_ - � � . . � .. .. . - , <br />Planning ' <br />NROVIDE FOf2 <br />I pROPER DRAlN.4GE <br />' l° nrco�. <br />